Holiday 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): _________________________________
Lodging? (Y/N) ____________
Meals? (Y/N) _____________
The cost of the camp is $240.00 for training and competition, $360.00 including lodging, and $440.00 including both lodging and meals. Your non-refundable deposit of $50.00 will be applied toward your registration fees.