Shoreline Membership Registration Form

Shoreline Membership Information

Complete the form below.
I understand and acknowledge that all Membership products and monthly Private Lesson agreements are yearly contracts that bill monthly and I agree to pay monthly dues. These dues will be paid by automatic debit or credit card transaction. I authorize Shoreline Fencers Club to bill my credit card for its dues.

I understand and acknowledge that Membership and Private Lesson contracts will auto-renew until and unless I cancel, change, or pause them with written notification. Membership and Private Lesson contracts may be canceled by writing to the Shoreline Fencers Club email.

I understand that I have until the 15th of each month to cancel my Membership or Private Lesson contract otherwise I will be billed for the following month.

Once again, I understand that I must cancel in writing either through the Shoreline Fencers website or email address, on or before the 15th of each month in order to avoid being billed for the following month.
Fencer Name*

First NameLast Name
Parent/Contact Name*

First NameLast Name
Parent/Contact Phone Number:*

Area CodePhone Number
Parent/Contact Email:*
Fencer's Weapon:*
Fencer's Coach:
Are you interested in an Intro pack, Member, or non-member pricing?*
Intro Pack (For new fencers only*)*

Intro Pack- $300 (4 Weeks of unlimited classes + 4 Private lessons!)
Yearly membership*

Yearly membership- $600 (Auto renews every year*)
What member pricing are you interested in?

Unlimited Classes- $275/Month*1 Lesson per Week- $200/Month*Flex 5 pack- $250 (Auto renews once 5 lessons have been used*)Flex 10 Pack- $490
Non-Member pricing*

Unlimited Classes- $400/Month*Pay per class- $65Pay per private lesson- $65Flex 10 pack- $600
Someone will be in touch to answer any questions you have!
Please make sure you have also signed up for a USFA membership!
Date*

MonthDayYear
Date
Signature*

Clear
Should be Empty:

Shoreline Membership Information

Please make sure you have also signed up for a USFA membership!