PS 316 Fencing Club Registration

PS 316 Fencing Club Registration

9 Class Session
Contact Information
Student's Full Name*
First Name + Last Name
Parent's Phone Number*

Area CodePhone Number
Email Address (to send confirmation) *
example@example.com
Home Address

Street Address

Street Address Line 2

CityState

Zip Code
Fencer+email
Student Information
Date of Birth*
mm/dd/yyyy
Age*
Gender

FemaleMale
Fencing Experience?
ex - no or # of months/years
Additional comments, allergies, health issues:
Policies & Waivers

Parent & Fencer: Review safety policy, media release, and waiver of liability, then check "Agree to Policies & Waivers" and type names below.
By typing my name below, I confirm that I read and understood the policies & waivers of New York Fencing Academy Camps and agree to abide by them:
Student Agrees:*
Enter full name
Parent Agrees:*
Enter full name
Session
Session:*

2:30-3:30 pm Fridays: Jan 31, Feb 7, Feb 28, Mar 6, Mar 13, Mar 20, Mar 27, Apr 3, Apr 24
Total
Register & Pay
Total Due with Registration: $135

Press SUBMIT & PAY to send us your registration and pay by credit card, debit card or PayPal on the next screen. We will email a receipt. Payment and registration must be received before classes begin.
PAY NOW

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Contact Information