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 Code Phone Number
Email Address (to send confirmation) *
example@example.com
Home Address

Street Address

Street Address Line 2

City State

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

Female Male
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

prev next ( X )
USD
Thank You!
Should be Empty:

Contact Information