Four Day Training Camp Entry

Contact Details

Details of the person registering the fencer. Must be over 18

First Name*

Name of person completing this form

Family Name*

Name of person completing this form

Address*

Your address

Town or London Borough*

City, Town or London Borough

County*

  London Essex Hertfordshire Kent Surrey Cambridgeshire other

London means one of the 32 London boroughs

Post Code*

Please use upper case. At least one space!

Email*

Must be that of a person 16 yrs or over. We will use this to send you urgent information and future events you may be interested in

Repeat Email*

(Just to catch any typos. It happens a lot!)

Main Contact number*

Must be that of a person 16 yrs or over. Insert a space in the number

Relationship to Fencer*

Relationship to Fencer

Parent/Carer Coach/Manager The Fencer

other:

Your relationship to the fencer

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Trainee Details

Fencer's First Name*

Name of the person attending the course

Fencer's Family Name*

Date of Birth*

Gender*

Gender

M F

Club(s)

The Club(s) the fencer normally fences at

Coach(es)

Present coach(es)

About You

Number of years fencing and level of competitions entered

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Camp Dates

There are TWO camps on this form. Each must be entered and paid separately.

May Half Term Camp: 30th May - 2nd June.

Summer Camp: 25th - 28th July

Camp

  May Half term Camp July Summer Camp Choose Camp. Each camp must be registered and paid separately.

Training Days*

Training Days

Mon Tue Wed Thu

£57 per day. 4 days 10% Discount

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Medical

We require up to date contact information and details regarding any medical conditions the fencer may have that could arise while fencing.

Do you consider the fencer to have a disability?*

Do you consider the fencer to have a disability?

Yes No

Defined by the Disability Discrimination Act 1995: "A physical or mental long term impairment which has substantial long term adverse effect on ability to carry out normal day to day activities"

Medical Details*

Please provide details of regular medications and/or actions to be taken if they fall ill. Any relevant allergies (plasters, pollen, dust, latex) medical conditions. Special Educational needs or physical statements.

Emergency Contact*

Name of Emergency Contact (Other parent, carer, doctor, friend, specialist, etc.)

Emergency Number*

It is essential to have a current contact number

Medical Consent*

Medical Consent

Yes No

Should The Fencer need medical attention at the venue please consent to treatment by a registered first aider

Confirm Conditions*

I accept that the organisers, officials, sponsors of our events and venues cannot be held responsible for any accident, loss or damage sustained at the venue, that Fees are not refundable and that all information provided is correct.

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Consents

We require consent to take photos/videos, confirm that you understand the conditions of membership/Entry to the event, and other permissions required by law

Volunteer*

Volunteer

Yes No Perhaps

There is always a lot to do running a club: mending foils and spools, editing pictures for Facebook, website admin, competition/training admin etc . Why not join our team of volunteers behind the scenes?

Photo/Images Consent*

By entering an event or becoming a member of the club you agree to the respectful use of your/your child's image in showing the activities of the club on the website and in social media. We will remove/disguise any image at your request. Please check the box to show that you understand this.

Go Home Alone*

Go Home Alone

Yes No N/A

If your child is aged 14 or above do you consent to letting your child go home alone?

Contact*

I understand that the Contact details provided will be used to send club related information by email. Contacts of Club Members will be invited to join our WhatsApp Group. These details will be used ONLY by club managers. They will not be shared with anyone without your consent.

How did you hear about the Club/Event?*

How did you hear about the Club/Event?

An Email from Newham Swords Your own club Newham Swords Facebook page Facebook Competitions page A friend A previous event Internet Search British Fencing

other:

This helps us choose the best way to publicise the club. Thank you!

Proof of humanity!*

8 − 5 = ? This is to protect against internet robots filling the form!

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