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:

If you are under 18 years of age, please fill out the following.

Parent's name:

Parent's home phone:      Parent's cell phone:          

Parent's work phone:

Parent's E-mail address(es):

Parent's Employer:

Part II: Class Registration

Youth Classes:  Youth, Beginner        Youth, Intermediate

Adult Classes:   Adult, Beginner         Adult, Recreational - Thursday Only

Recreational/Open Classes:  Youth, Foil     Youth, Epee     Youth, Sabre

                                        Adult, Foil      Adult, Epee      Adult, Sabre

Competitive Classes - Youth/Adult:   Foil        Epee        Sabre

Visiting Fencers:    Foil        Epee        Sabre

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:

Thank you for filling out the Registration.