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Fencing Registration Form
New Fencers: Please fill this form out completely.
Returning Fencers: Please fill out this form completely, so we can update our records.
Part One: Personal Information
Fencer: New Fencer Returning Fencer
Name: Address:
City: State: Zip:
Home phone: Cell phone:
Work phone: E-mail address(es):
School or employer:
Date of birth: Age today:
Gender: Male Female
Medical Conditions:
For Fencers under 18 years of age, please fill out the following.
Part II: Class Registration
Part III: Payment/Billing Options
Automatic Withdrawal (10% discount) (Forms will be sent by mail to set this up or download and send in the form)
Bill by mail
Bill by e-mail (MUST provide e-mail above):
How did you hear about LFC:
Questions or comments:
**YOU MUST fill in the Security ID above! Failure to do so will reset the form and nothing will be submitted. This will help us cut down on the SPAMBOTS hitting our site. Thank you. (Please, use only the BLACK characters for the identification.)
Thank you for filling out the Registration.