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Registration Form

2008 Summer Camps

Alliance Fencing Academy, Houston

Youth 7-14

___ June 2-6,   ___ June 9-13,   ___ June 16-20,   ___ June 23-27,  

___ June 30-July 3,   ___ July 28-August 1,   ___ August 4-8

Student name: ____________________________________________

Age: _____  Gender:    M   ,   F      Fencing experience: _____________

Address: _________________________________________________

              _________________________________________________

Home phone: ___________________ Cell: ______________________

E-mail: ___________________________________________________

Parent name: ______________________________________________

In case of emergency please call: __________________________ , ___________________________

                                                                      (Name)                                              (Phone)

Alliance Fencing Academy, LLC is a member of the United States Fencing Association (USFA) with

its certified insurance.

_____ (Initial) WAIVER OF LIABILLITY

Upon entering events sponsored by the USFA and/or its member Alliance Fencing Academy, I agree

to abide by the rules of the USFA, as currently published (www.usfencing.org). I understand and appreciate that participation in a sport carries a risk to me of serious injury, including permanent paralysis or death. I voluntarily and knowingly recognize, accept and assume this risk and release the USFA, their sponsors, event organizers and officials from any liability. 

Parent signature _________________________            Date: ___/___/___

                           (Required for fencers under 18)

Amount Enclosed:  $ ________