OLYMPIA FC PROGRAM REGISTRATION FORM

OLYMPIA FC PROGRAM REGISTRATION FORM
HEAD OF HOUSEHOLD CONTACT INFORMATION:
Name *

First Name Middle Name Last Name
Address *

Street Address

City State

Zip Code
Phone Number *

Area Code Phone Number
E-mail Address *
example@example.com
FENCING STUDENT(S) INFORMATION:
Student 1 Name *

First Name Middle Name Last Name
Student 1 Birthday *

Month Day Year
Student 2 Name

First Name Middle Name Last Name
Student 2 Birthday

Month Day Year
Student 3 Name

First Name Middle Name Last Name
Student 3 Birthday

Month Day Year
Student 4 Name

First Name Middle Name Last Name
Student 4 Birthday

Month Day Year
Emergency Contact Phone Number *

Area Code Phone Number
Emergency Contact Name *

First Name Last Name
Date Joined *

Month Day Year
How did you hear about us? *
MEMBERSHIP TYPES AND FEES
Please select one program: *

Musketeers 1x60 min: $115 Musketeers 2x60 min: $165 Advanced Musketeers 2x60 min: $165 Youth Learn to Fence 1x90 min: $145 Youth Learn to Fence 2x90 min: $195 Youth Learn to Fence 3x60 min: $195 Youth Pre-Competitive 2x90 min: $195 Youth Competitive 3x120 min: $335 Junior Competitive 3x120 min: $395 Adult Competitive 2x90 min: $195 Adult Learn to Fence 1x60 min: $115 Adult Learn to Fence 2x60 min: $165 Adult Learn to Fence 3x60 min: $195 Members Only Open Fencing: $99
Addendum: Each of these programs are subject of a one-time, $10.00 account set up fee, which is different from the USFA membership, payable separately to them.
PAYMENT AGREEMENT
I will provide a credit card at the time of my enrollment, and I authorize Olympia Fencing Center to charge my credit card each month, for the amount due according to the membership level I signed up for. In the event my card would be declined, I have five days to update my form of payment, after which a charge of 2% will be added, for each day plus $10.00 processing fee. My due payment will be applied monthly until I email to cancel.

All fees are non-refundable.
ANNUAL FEE AGREEMENT
All programs above the beginner level are subject to an annual club fee of $300.00/individual, or $500.00/family.
The club membership fee includes club patch, club representation, exclusive coaching by Olympia’s staff, access to both locations, lockers, and free use of the gym equipment.

I understand that if I enroll in any other than beginner/learn to fence program, or if I move up to a competitive program at any point, I will begin to pay the annual membership fee.
Signature (parent/guardian if under 18) *

Clear
USFA MEMBERSHIP

USFA membership is required for participation in all club activities/programs. Beginners start with $10.00, non-competitive membership type. You are able to upgrade to Competitive at any time. USFA membership must be renewed every year in July.
Please click here to go to the USFA website, and register for the least $10.00 non-competitive annual membership.
USFA Number : *
(9-digit number starting with 100...)
Personal Information Agreement
I authorize Olympia Fencing Center to keep my private information on file during my membership. I authorize Olympia Fencing Center to keep my email address on the members' contact list until I notify them in writing that I prefer to be removed, or I remove myself.
Covid-19 Waiver

Please click this link, sign and submit.

Thank you!
Waiver Of Liability

I recognize that fencing has inherent dangers, and choose to participate in this sport and use the facility at my own risk, and release Olympia Fencing Center, its coaches, instructors, volunteers, from any liability. I also recognize and understand that, in the event of an injury, occurring that I entered the premises, I will not hold other fencers liable.
Use of images, name identification

I authorize Olympia Fencing Center to use images with, or without identification, for publicity, promotional, and advertising.
If I opt-out of it, I agree to remove myself (or my child/dependent) when taking any photos, videos, promotional materials, or the opt-out shall become void.
Choose one in reference to allowing use of images/name: *

Yes No
Signature (parent/guardian if under age of 18) *

Clear
Use of changing rooms/boxes

I understand that Olympia Fencing Center is not responsible for lost equipment, including but not limited to: fencing bag and contents, shoes, weapon, mask, etc.
OLYMPIA FENCING CENTER CODE OF CONDUCT

In order to ensure a safe and sportsmanlike atmosphere for all our members, everyone that uses our facility must adhere to our code of conduct. By using our facilities, you agree to abide by this code and be subject to its disciplinary provisions. We expect show of respect for our fencers, coaches, visitors, staff, volunteers, the facility, and the rules of the game.

1. OFC members will abide by the club’s dress code: men will wear knee-length shorts, and cover their upper body at all times; women must wear proper length shorts, T-shirts/tanks, and padded sports bras underneath.

2. Fencers must behave in a sportsmanlike manner, at all times. Behavior that would get you a warning or yellow card at a competition, will get you a warning or yellow card at the club. This includes but is not limited to the following prohibitions:

• Swearing • Name-calling or negative talk • Throwing equipment • Hitting or kicking the floor or walls • Yelling • Misuse of equipment

3. If your behavior would get you a black card at a competition, it will get you a black card at the club. Such behavior will result in your being required to

leave the facility immediately and includes, but is not limited, to the following prohibitions:

• Dangerously throwing equipment • Willful damage to club property • Dangerous or vindictive fencing • Shouting matches, Fighting or Threats • Extreme unsportsmanlike conduct • Failure to follow the directives of the manager, coach, or board member on duty

4. Fencers who are black carded more than once or whose behavior is particularly egregious are subject to suspension from the club and will be prohibited from using the facilities.

By signing below, I agree to abide by the Olympia Fencing Center’s Code of Conduct and be subject to the Code's disciplinary provisions.
Signature (parent/guardian if under age of 18) *

Clear
SPECIAL NOTE

Olympia Fencing Center is a private club and reserves the right to review and deny participation in events held at its venue on a case by case basis.
Should be Empty:

OLYMPIA FC PROGRAM REGISTRATION FORM

HEAD OF HOUSEHOLD CONTACT INFORMATION:

FENCING STUDENT(S) INFORMATION:

MEMBERSHIP TYPES AND FEES

USFA MEMBERSHIP