Olympian Fencing Consent and Membership Agreement.

I fully understand that due to the nature of the sport of fencing there are inherent risks. I understand that Olympian Fencing Studio will instruct me in basic safety rules related to fencing, and I will be solely responsible for following such safety rules at all times. Further, I understand that even though I may follow precautionary instructions, fencing and all sports activities involve significant risk of injury and I may be injured. I accept the risk of injury and hereby release Olympian Fencing Studio, and its coaches, and fencers from all claims I may have against them relating to my activities at Olympian Fencing Studio. Further, I agree to be legally responsible for all injuries to other people and all damages caused by my failure to follow the safety precautions as well as other reasonable instructions prior to all activities.

I acknowledge that the sport of fencing involves physical exertion and I represent that I am of sound physical fitness and am able to withstand all exertion involved. I will consult my physician if I have any concerns regarding the physical exertion involved. I shall inform Olympian Fencing Studio of all pre-existing conditions and recently developed medical symptoms.

I further understand there is no implied or stated guarantee of success or effectiveness of a specific fencing lesson or series of fencing lessons. I understand that my success will depend upon many factors, including my level of skill and effort and other factors beyond Olympian Fencing Studio's control.

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 Olympian Fencing Studio 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 filling out the "Change Membership" form on the Olympian website, or by writing to the Olympian email.

I give Olympian Fencing Studio permission to use any photograph or video taken at any Olympian Fencing Studio function for use on our website or for marketing purposes.

For Parents/Guardians: I represent that I am the parent or guardian of the child(ren) named below. I agree to the foregoing on my behalf of said child(ren) and I have full authority to do so. I will be responsible for assuring that the children are aware of and observe the studio rules at all times and I will be liable for all damage or injury caused by said children to the property of Olympian Fencing Studio and other fencers.

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 Olympian Fencing website or email address, on or before the 15th of each month in order to avoid being billed for the following month.

Name of the child*

First NameLast Name

Name of the child

First NameLast Name

Birthday*

Date

Birthday

Date

Parent/Guardian's Name*

First NameLast Name

Parent/Guardian's Phone Number*

Parent/Guardian's Email*

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What membership are you interested in?*

Beginner Membership 1 $550- 1 private lesson a week plus group classes.Beginner Membership 2 $750- 2 private lessons a week plus group classes.Competitive Membership 1 $650- 1 private lesson a week plus group classesCompetitive Membership 2 $850- 2 private lessons a week plus group classes.Competitive Membership 3 $1025- 3 private lessons a week plus group classes.Competitive Membership 4 $1200- 4 private lessons a week plus group classes.Flex Pack- $550 (Flex 10 pack use on classes or lessons.)Unsure/Have questions

Please also make sure you have signed up for a USFA Membership.

Date*

Date

Parent/Guardian Signature.*