Entry Form - 2013 Fencing NZ U17 National Championships
Saturday 27 and Sunday 28 April 2013
Venue: Cashmere High School, 61 Barrington Road, Cashmere, Christchurch.
Participants must be under 17 years old on 31 December 2012 ie born on or after 1 January 1996

Please Note: Only non-marking shoes may be worn in the Cashmere Gym. No black-soled shoes, high heels or stilletto heels will be allowed.

Provisional Timetable details on the Fencing MidSouth website www.fencingmidsouth.org.nz. The Organisers may modify the scheduled times. Changes will be advised on Fencing MidSouth website and at the venue.

Last Name *
Your answer
First Name *
Your answer
Club *
Your answer
My Region *
My Region - if "Other"
Please add your country and region/state
Your answer
Date of Birth *
day/month/year ie 02/02/1997 if you were born on 2nd of February 1997.
Your answer
Emergency Contact - Name *
Your answer
Emergency Contact - Relationship to Fencer *
eg Mother, Father, Grandparent, Family Friend
Your answer
Emergency Contact - Phone numbers *
Your answer
Email address *
Your answer
Please enter me in
and / or
and / or
Payment Method *
Account for payment by internet banking: 03-0802-0087494-25. (Fencing MidSouth). Reference: "NZU17 / Fencer's Name".
Entry Fees - Entries close Wednesday 17 April 2013 *
$40 First event; $25 each extra event. Fee for Late Entry $40 (Late Entries accepted at Organisers' Discretion)
Medical conditions, allergies etc we should know about: *
Your answer
Notes *
Your answer
Consent, acceptance and agreement *
CONSENT OF PARENT/GUARDIAN ON BEHALF OF FENCER: I confirm the above named fencer's participation in the 2013 Fencing New Zealand U17 Championships. I consent to emergency medical, hospital or ambulance services being obtained at my expense in the event of accident or sudden illness. The abovenamed fencer agrees to abide by the Rules for Competition and the Fencing New Zealand Code of Conduct (Code of Conduct can be read at www.fencing.org.nz in the "Information -President's Corner" tab.). No refunds except to a competitor who is forced to withdraw within 72 hours of the relevant event through illness, accident or , in the sole opinion of the organiser, as a result of unforeseeable circumstances. Fencing NZ, Fencing MidSouth or the organisers shall not be liable for any expenses or charges incurred by a competitor as a result of entering the competititon or their participation. This includes where an event is rescheduled or not held, for any reason. Entry numbers by event will be available and updated on the Fencing MidSouth website. NOTE: BY ENTERING ON-LINE, YOU ACCEPT AND AGREE TO ALL THE ABOVE.
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