BOSTON
FENCING CLUB
110 Clematis Avenue #2
Waltham, MA 02453
781-891-0119 bostonfencingclub.org
Clinics Registration Form
All Fencers must be current USFA members. A waiver of liability must be completed and signed by the fencer and the fencer's legal guardian at check-in on the first day. The club will be open by 8:30am each day. Fencer's must bring their own lunch.
Dates of clinic you are registering for:
Name
Address
City, State, Zip
Phone #1 Phone #2
Parents'/Guardians' names
Male/Female Age
How long have you been fencing? Weapon
Payment (circle one): Deposit $50 4-Day Clinic $400