CLUB REGISTRATION FORM

Official Club registration form Excalibur Community Fencing Club.

First Name *

Last Name *

Phone *

Email *

Year of birth *

Address *

Gender *

How did you hear about the club? (N/A for returning members) *

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

Emergency Contact Number *

Relationship of emergency contact *

Note of medical conditions *

Please note: Personal details will not be used for any other purpose than for contacting and providing services to Excalibur Community Fencing Club members.

OTHER QUESTIONS

Please answer the below questions to help us look after our members.

Have you participated in a State Competitions before? *

How many times per week would you like to train? *

Are you interested in receiving 1-on-1 coaching? *

CLUB FEES AND PAYMENTS

All fencers are required to affiliate with FencingWA to fence at the club. This annual payment ensures you are covered under the state association’s insurance for participating in the sport at the club. It can be completed via the FencingWA website. We will be checking affiliation and if found to be unaffiliated, you will not be allowed to fence at the club. National Capitation is not required unless fencers are competing in national competitions. National Capitation Fees can be added later in the year if you do not pay them now. We request that all club members pay their fees by the 1st of March 2024. Any member who has not paid their fees by this date and has borrowed club equipment will be required to return it. Please speak to our treasurer Gary Sudran about the payment of club fees if you have any queries. Our membership fees will not be directly linked to this system and we will still accept payment methods as below. You can pay your fees this year using the following methods via Debit/Credit Card at the club, Cash at the club, Bank Transfer

I acknowledge the club fees and cost. I am aware that my club fees are different from the affiliation fees of FencingWA.

PERMISSION TO USE IMAGE

Images of members of Excalibur Community Fencing Club at social functions, fencing competitions or training sessions may be used for promotional purposes on the ECFC Website and various social media platforms.

I consent to use my image on the clubs website/social media

SIGNATURE AND DECLARATION

I hereby declare that the information provided above is correct and true

Your Signature *

Clear

Signature of Parent or Guardian (if under 18 years of age)

Clear