GFA Membership Form

Gutkovskiy Fencing Academy

Membership Form
Gutkovskiy Fencing Academy

18-02 River Road
Building 1, Unit 2
Fair Lawn, New Jersey 07410

www.FenceGFA.com

201-773-0981

info@fencegfa.com
GFA MEMBERSHIP FORM
LAST NAME*
FIRST NAME*
BIRTHDAY*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMAIL*
example@example.com
HOME PHONE*
Please enter a valid phone number.
CELL PHONE*
Please enter a valid phone number.
NAME OF PARENTS OR GUARDIAN*
EMERGENCY CONTACT NAME & TEL #*
MEDICAL CONDITIONS*
AGE*
SCHOOL*
WEAPON*
USFA RATING*
Rules & Notices
Safety Rules
1. The fencing floor is a restricted area and only fencers may be on it. Non-participants must stay in the observation/seating area.
2. Fencing weapons must be carried point down or in a fencing bag.
3. No type of movement with the blade is allowed if any person within 6 feet of action is unmasked.
4. Warm up stretches are required before a lesson or practice.
5. Mask, glove, fencing jacket, knickers, plastron, and clean athletic shoes (w/o duct tape) must be worn when fencing.
6. Walking or standing close to fencers that are fencing when blade points are raised or blades are in motion is prohibited.
7. Unsportsmanlike behavior and rough play or actions, whether intentional or not, are prohibited.
8. All fencers have a duty to report any unsafe area or unsafe activity to the staff.
9. Any illness, injury or the taking or medication must be reported to the instructor before lessons or practice.
10. No participation while under the influence of medicines or chemicals which cause drowsiness or disorientation.
11. Any person not abiding by GFA rules may be subject to expulsion.
12. Gym equipment area: This area is restricted for 12 years and older and must be in advanced class to use the equipment.
13. You must bring working equipment to the Intermediate & advanced classes. You must have your own equipment.
14. Parent or guardian must stay at the club during an individual lesson.
15. Parents or guardians are required to pick up their children from inside the club. GFA staff will not accompany students to their vehicles.
16. Each student must remember to bring their own water bottle when attending the club.
Legal Notices
1. You represent that you are in good physical condition and have no physical or mental health problems that will preclude or inhibit your participation in fencing activities.
2. You hereby give consent to GFA and its representatives to obtain medical care at your expense from any physicians, hospital or clinic for you and/or the above mentioned fencing Student for any injury or illness that may arise during any activities associated with GFA.
Membership Policies
1. Annual Memberships at GFA run from September 1 - August 31.
2. To be considered a GFA member, you must be a paying member on an annual, by annual or monthly basis.
3. GFA membership fee is for advanced class students only.
4. A GFA member also must list GFA (Gutkovskiy Fencing Academy) as their primary club on their United States Fencing Association Membership form as well as on the www.askfred.net entries.
5. Intermediate & Advanced class students must have current USA Fencing Association membership. https://member.usafencing.org/signup
6. Every GFA member must represent GFA at any USFA-sanctioned competition that they participate in and wear their GFA patch either on their uniform either on the shoulder of their non-dominant arm sleeve or on the side of their thigh (back leg).
7. One GFA logo patch is available per member free of charge. Extra patches are available for a fee.
8. If two GFA members have the unfortunate situation of having to fence against each other at a competition, they can not be coached.
Payment Policies
1. Group package & membership are not refundable, transferable, or use a portion of the fee to any other services.
2. College student: Group class fee is waived after starting freshmen year.
3. All returned check fee is paid by the owner of the check.
4. Coaching fees will be invoiced after confirmation of request.
5. Personal check, bank check, cash, and credit card are accepted. Note: credit card with additional service fee.
Club Policies
1. All fencers must abide by GFA's safety rules.
2. During cross-training, warm-ups and private lessons, only knickers, sweatpants or medium to long-length shorts are considered acceptable sportswear for athletes' legs.
3. Any damage incurred to GFA equipment, GFA-owned or rented facilities, or fixtures due to negligence will be the financial responsibility of the person or persons that caused the damage.
4. No free fencing is allowed during active group class session.
5. Fencers must leave the facility after conclusion of Beginner's and Intermediate classes.
6. Coaching at the club is only from GFA staff.
Cancellation Policies
1. All private lessons and group class packages are non-refundable, non-cancelable, and non-transferable by the member.
Signing below means that you have read and agree to abide by the policies and safety rules contained in the above GFA Membership Form.
Student's Name (please print)*
Student's Signature*

Clear
Date*

MonthDayYear
Date
Parent's Name (please print)*
Parent/Guardian's Signature*

Clear
Date*

MonthDayYear
Date
PHOTO CONSENT FORM
ALL club members and Non members who appear in photos published on the website, flyers, posteard, and/or newspapers MUST have a signed consent form on file.
Consent for Fencer Photo(s)

Permission is hereby granted for the Gutkovskiy Fencing Academy (GFA) to publish photo(s) including the following person {first5} {lastName} on the GFA Website, post card, flyer and/or in publicity articles for the purposes of promoting /publicizing GFA events and activities.

Photos are to be used for NO other purpose by the GFA without specific written permission.

By signing this form, I hereby agree that the GFA and its board and members assume no liability from the publication of these photos on the GFA website or in articles publicizing GFA events/activities.
Student's Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian's Signature*

Clear
Date,*

MonthDayYear
Date
Should be Empty:

Gutkovskiy Fencing Academy

GFA MEMBERSHIP FORM

Rules & Notices

PHOTO CONSENT FORM