Lancaster Fencing Academy Registration Form
lancfencingacademy@gmail.com
Shawn Bertel (717) 615-6553
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Class: Select one (highlight or circle)
Class Selection
Youth (7-10)
Immersion
Beginner (10+)
Foil
Épée
Saber
Name
First Name
Last Name
Age:
Grade:
USA Fencing Member #:
Fencing Experience (weapon, time, coach):
Mask size(cm)
Jacket Size (cm)
Handedness
L
R
Parent/Guardian Information
Parent/Guardian Name:
Phone:
Format: (000) 000-0000.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Parent/Guardian Name (2):
Phone:
Format: (000) 000-0000.
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Other Sports or Activities Your Child Has Participated In:
How Your Child Learns Best: Please share anything about you or your child's learning style, interests, or ways they feel most comfortable in new activities. (For example: prefers clear step-by-step directions, benefits from demonstration, needs breaks, responds to humor, etc.)
Any Other Pertinent Information:
Submit
Should be Empty: