ENROLLMENT FORM

Questions?

Privacy notice

Student Full Name

Parents Full Name

Best contact cell Phone # *

Email address

Complete address PLEASE ADD CITY & ZIP CODE

Student Date of Birth MM/DD/YYYY *

If you are not a beginner, where have you fenced before? *

Tell us about your goals! *

How did you hear about us? *

Where you referred by someone?

Preferred day/time Classes / Camp week desired

Will you be buying or renting the equipment (N/A for camps)?

Credit card (Visa/MC only)--------------------------------------------------------exp date------------------------billing address if different ------------------------------------

Emergency contact name/phone number *

Medical conditions (if any) *

Does the student have any physical or emotional characteristics that our coaches need to know to make this a positive learning experience? *

Please pick up the full registration package at the Academy unless this is a summer camp registration

SEBASTIANI FENCING ACADEMY

Cercle D'Escrime de Princeton, Inc Est 2000

609-734-0020

To visit us, please call ahead

ENROLLMENT FORM

SEBASTIANI FENCING ACADEMY

741 Alexander Road

Princeton, NJ 08540

Tel: 609-734-0020

info@sebastianifencing.com