Wang Haibin Arc Fencing Academy Fencing Camp Registration

Student's Full Name*

First NameLast Name

Student's Date of Birth*

Date

Student's Gender*

MaleFemale

Student's Email Address*

example@example.com

Phone Number*

Home Address*

CityState / ProvincePostal / Zip CodeCountry

T-Shirt Size

Is the student under 18 years old?*

Yes, the student is under 18No, the student is over 18

Parent/Guardian Full Name

First NameLast Name

Relationship to Applicant

Parent/Guardian Email Address

example@example.com

Parent/Guardian Phone Number

Will you be attending as a sleepaway camper or a communter?*

SleepawayCommuter

Are you interested in the city excursions? ($350 each)*

Boston Tour (August 2nd)New York City Tour (August 8th)Both ToursNot interested

Emergency Contact Full Name*

First NameLast Name

Relationship to Applicant*

Emergency Contact Phone Number*

Emergency Contact Email Address

example@example.com

Does the applicant have medical conditions, allergies, or dietary restrictions?*

YesNo

Please list all relevant medical conditions, allergies, or dietary restrictions.

What is your fencing rating level?

Current Fencing Club (optional)

Coach Name (optional)

First NameLast Name

Liability and Insurance Clauses

Assumption of Risk

I understand that participation in this camp may involve academic, recreational, and cultural activities that carry certain inherent risks, including but not limited to minor injuries, illness, or property loss. While Arc Fencing Academy will take reasonable steps to ensure safety and supervision, I voluntarily assume all risks associated with participation in the program on behalf of myself/my child.

Insurance Coverage

Arc Fencing Academy provides event insurance for program-related activities and onsite insurance for international students during their stay in the USA. However, all participants, including international students, are required to maintain valid personal travel and medical insurance that provides coverage for the full duration of their study and stay in the USA. Proof of insurance coverage must be submitted before the start of the program.

Release of Liability

In consideration of participation in the Summer School program, I hereby release and hold harmless Arc Fencing Academy, its directors, employees, agents, and volunteers from any and all claims, liabilities, or damages arising from participation in program activities, except in cases of proven negligence or willful misconduct.

Medical Authorization

In the event of illness or injury, I authorize Arc Fencing Academy staff to obtain or arrange medical treatment as deemed necessary for myself/my child. I understand that such costs may be covered, in whole or in part, by the school-provided insurance and/or my personal insurance. I accept responsibility for any expenses not covered by either policy.

Photo and Media Release

I consent to the use of my/my child's image or likeness in photographs, videos, or other media materials produced by Arc Fencing Academy for educational or promotional purposes, without compensation.

Code of Conduct

I understand that all students must comply with the Summer School's rules and code of conduct. Arc Fencing Academy reserves the right to dismiss any participant whose behavior is deemed unsafe, disruptive, or inappropriate. No tuition refund will be provided in such cases.

Refund Policy

90% Cash Refund: Available for cancellations made before May 31st.

50% Cash Refund or 90% Credit for Future Program: Available up to two weeks before the program starts.

No Cash Refunds After Program Start: Refunds will not be issued once summer begins. However, 50% can be credited.

Wang Haibin Arc Fencing Academy Fencing Camp Registration

Applicant Information

Parent/Guardian Information

Camp Logistics

Emergency Contact Information

Medical Information

Fencing Experience

Agreements and Waivers

Liability and Insurance Clauses