2019-20 LOTUS FENCING ACADEMY REGISTRATION FORM 

Name of Fencer *
Name of Fencer
Date of Birth *
Date of Birth
Phone *
Phone
Of Guardian if Fencer is a minor
Full Address *
Full Address
Of Guardian if Fencer is a minor
How did you learn about us? *
Name of Guardian *
Name of Guardian
If Fencer is a minor
If no, please see: www.usfencing.org/membership
Signature of Fencer or Guardian, if Fencer is a minor.
Signature Date *
Signature Date