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:

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.

Mother's name: Father's name:
Mother's address: Father's address:
Mother's home phone: Father's home phone:
Mother's cell phone:          Father's cell phone:         
Mother's work phone: Father's work phone:
Mother's employer: Father's employer:
Mother's e-mail address: Father's e-mail address:

Part II: Class Registration

Youth Classes:

Youth, Beginner #1
(7—13yrs)
Twice a Week (Mon & Wed)
5:30pm -7:00pm

Youth, Beginner #2
(7—13yrs)
Once a Week (Saturday)
12:30pm - 2:00pm

Youth, Intermediate #1
(7—14yrs)
Twice a Week
(Tues & Thur) 5:30pm -7:30pm

Youth, Intermediate # 2
(7—14yrs)
Once a Week (Saturday)
2:00pm -3:30pm

High School Classes:
High School, Beginner 
(14—18yrs) - Once a Week
(Thurs.) 7:30pm -9:00pm
Class Session: January 12 - March 1, 2012
    

Adult Classes:
Adult, Beginner
(19 yrs—older) - Once a Week
(Tues.) 7:00pm - 8:30pm
Class Session: January 10 - February 28, 2011
Adult, Beginner
(19 yrs—older) - Once a Week
(Saturday) 11:00am -12:30pm
Class Session: January 7 - February 25, 2012
 
Open Fencing:
(bouting)
Youth, Foil 
Youth, Epee
Youth, Sabre
 
Adult, Foil 
Adult, Epee
Adult, Sabre
Competitive Program:
(Private/Individual Lessons)
Foil 
Epee 
Sabre
Visiting Fencers: 
Foil
Epee
Sabre
       

 Part III:  Payment/Billing Options

A Waiver of Liability, Permission to Photograph, and Insurance Form MUST be filled out before you can begin fencing at Lincoln Fencing Club

Payments: Class fees are due monthly. Please check one of the following:

  Automatic Withdrawal
    (Forms will be available at club, sent by mail, or download and send in the form to set this up)

  Bill by mail 

  Bill by e-mail (MUST provide e-mail above)  

  I would like to pay with a Credit Card and will FOLLOW the PayPal Link after I submit this form.

How did you hear about LFC? 

Questions or comments:

 
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Get a jump (or, we like to say, "Balestra" on the registration. Download these two forms, fill them out, and bring them to club. Every fencer is required to have these two forms filled out and signed before they begin to fence.

Lincoln Fencing Club I 2645 O St, Suite B I Lincoln, Ne 68510 I 402-420-7688 I webmaster@lincolnfencing.com
Billing Address: LFC I PO Box 80412 I Lincoln, Ne 68501-0412