West Country Swords

October Camp ~ Application Form

* Indicates required field

Camp *

October Half Term

Course *

Fencer Name *

First

Last

Sex *

Age *

T-Shirt Size *

Payee Name *

First

Last

Email *

Contact Number *

Emergency Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Deposit paid by *

PayPal

Weapon *

Club *

Coach(s) *

Experience/Ranking *

Injuries *

If yes, please give details below: *

Medical Conditions: *

Current Medication: *

Permission for your child to attend the course and receive treatment (if required) by the School Staff, Sports Therapist and Coaches. *

No Yes

Permission to take photographs of your child for publicity purposes. *

No Yes

Permission to take photographs/videos of your child for coaching, analytical and feedback purposes. *

No Yes

Parent/ Gaurdian's Name *

First

Last

If the applicant is under 16 then the name of the person giving his/her permission must be stated in the box provided

Submit