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October Camp ~ Application Form
*
Indicates required field
Camp
*
October Half Term
Course
*
Residential
Fencer Name
*
First
Last
Sex
*
Female
Male
Age
*
6
7
8
9
10
11
12
13
14
15
16
17
18+
T-Shirt Size
*
Small
Medium
Large
Extra Large
Payee Name
*
First
Last
Email
*
Contact Number
*
Emergency Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Deposit paid by
*
PayPal
Weapon
*
Foil
Epee
Sabre
Club
*
Coach(s)
*
Experience/Ranking
*
Injuries
*
No
Yes
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
[object Object]
If the applicant is under 16 then the name of the person giving his/her permission
must
be stated in the box provided
Submit
