Rochester Fencing Club Registration Form
Email address *
Athlete's First Name *
Your answer
Athlete's Last Name *
Your answer
Home Address, City, State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Gender *
Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian Consent (if athlete is under 18*) *
Your answer
*By typing your NAME above, you agree to the information submitted. If athlete is 18+, please retype athlete's name.
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone Number *
Your answer
Previous Fencing Experience?
Medical Concerns/Allergies *
Your answer
Event Date *
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