U Champions Club Membership Registration Form

U Champions General Registration Form

ATHLETE INFORMATION
Name

First NameLast Name
Birth Date

MonthDayYear
Current School
E-mail
Phone Number

Area CodePhone Number
AAU Membership# (required)
USFA Membership# (if applicable)
Classification
Weapon
Session/Season
Enrollment Date

MonthDayYear
Date
Waiver of Liability
I the undersigned, acknowledge that participation in fencing involves physical activity and risk of injury. I hereby release and hold harmless the fencing club (Uptown Fencing Club, U Champions Consulting), its coaches, staff, and affiliates from any and all liability arising from participation of my child Signature in the fencing program.
Signature
Photo, Video, Media Release
Parent/Guardian Sinature
Once you submit your registration form please choose a date for your free trial lesson (20 min) or select from one of our membership packages at www.uchampionsfc.com

Thank you!
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U Champions General Registration Form