Check the event(s) for which you wish to register:

(   )  Open Men's Sabre    (   )  Open Women's Sabre

(   )  Open Men's Epee     (   )  Open Women's Epee

(   )  Open Men's Foil      (   )  Open Women's Foil    


Print your name:  ____________________________________

club or school:  _________________________  

tel. no.___________________________    

USFA member ( Y / N ) - required (but you can join at the door)

weapon classification(s)  S_______  E_______ F_______  

Advance registration fees are $20.00 for the first event, $20 for additional events. Please make checks payable to IN Division USFA, and mail with this form to:

Louise Leighton
60049 Cedar Rd.
Mishawaka, IN 46544

(   )  E-mail a confirmation to me at :____________________________

(   )  I've enclosed a stamped, addressed envelope for confirmation.