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
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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
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Emergency Contact Phone Number
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Previous Fencing Experience?
Medical Concerns/Allergies
Your answer
Groupon/Living Social #
Your answer
Event Date
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