NYFA Online Club Registration

NYFA Online Club Registration
NYFA Location*

NYFA-BK: 2702 West 15th St, Brooklyn, NY 11224NYFA-LI: 8 Haven Ave, Port Washington, NY 11050
Contact Information
Fencer's Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone*

Area CodePhone Number
Home Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
How did you learn about us?

Friend (optional: name in comments)Google / search engineSchool (optional: name in comments)Social mediaPrint adInternet adPress / articleOther
Fencer's Information
Date of Birth*

MonthDayYear
Gender*

FemaleMale
Fencing Experience*
Years
Age Group
USA Fencing Member ID *
Competitive Membership?*

YesNo
Additional Comments, Allergies, Health Issues
Terms & Conditions
Fencers & Parents: Please review the following policies: safety, membership, payment, cancellation; photograph/sound/video release; waiver of liability; and consent for medical treatment. Then check "Agree to Terms & Conditions".
Sign below (on screen by touch, mouse, etc.) to confirm that you have read and agree to the requirements and Terms & Conditions of the New York Fencing Academy:
Fencer's Signature*

Clear
Parent/Guardian's Signature*

Clear
Additional comments?

0/150
When completed, press submit to send to NYFA
and you will also receive a copy by email.

Thank You!
Should be Empty:

Contact Information