Harrogate Fencing Club

Application Form for a Beginners Course

Family Name

First Name

Type of Membership

Adult Junior

Date of Birth (Junior members only)

dd mm yyyy
Home Address

Post Code

Telephone Number

 

Please include area code
EMAIL ADDRESS

Junior Members only:-Please provide three Contact telephone numbers on Club nights

 

Please include area code

 

Please indicate if your child has any significant medical conditions or allergies

 

Signature
Date

Please Email kateelvin@hotmail.com to book a place on a course.

If a course if available please print this document, sign and date it, and send to

Kate Elvin, 3 Chestnut Avenue, Boston Spa LS23 6 EE

with a cheque made payable to Harrogate Fencing Club for

Adults £50

Juniors £40

Please Pre-book a place on a course as places are limited.

Wear long leg, high waisted tracksuit bottoms and a pair of trainers.

Bring a drinks container with at least 1 litre of water.