Camp Registration Form

Summer Camp Registration Form

Print this form out together with the Consent to Treatment and Waiver of Liability Form and return them with a non-refundable deposit of $50 to:

Indiana Fencing Academy
109 Lincolnway West
Mishawaka, IN 46544

Your deposit will be applied to your registration fee.

NAME: ___________________________________

BIRTH DATE: _________/_________/___________

ADDRESS: _________________________________

CITY: ____________________________________

STATE: _______________ ZIP: ________________

TEL.: ( _______ ) - ________ - _____________

WEAPON(S): _________________________________

CAMPS I WISH TO ATTEND:

June 12 - 16 ______________

June 19 - 23 ______________

Lodging? (Y/N) ____________

Meals? (Y/N) _____________

The cost of each camp is $330.00 for camp tuition, $480.00 including lodging and breakfast, and $560.00 including both lodging and all meals. Your non-refundable deposit of $50.00 will be applied toward your registration fees.

Summer Camp Registration Form

Print this form out together with the Consent to Treatment and Waiver of Liability Form and return them with a non-refundable deposit of $50 to:

Indiana Fencing Academy
109 Lincolnway West
Mishawaka, IN 46544

Your deposit will be applied to your registration fee.

CAMPS I WISH TO ATTEND:

Important:

You must also fill out and return the Consent/Waiver form located here.

Summer Camp Registration Form

Print this form out together with the Consent to Treatment and Waiver of Liability Form and return them with a non-refundable deposit of $50 to:

Indiana Fencing Academy 109 Lincolnway West Mishawaka, IN 46544 Your deposit will be applied to your registration fee.

CAMPS I WISH TO ATTEND:

Important:

You must also fill out and return the Consent/Waiver form located here.

Indiana Fencing Academy
109 Lincolnway West
Mishawaka, IN 46544

Your deposit will be applied to your registration fee.