Member Information & Waiver Form

Thank you for signing up for sword lessons!
You must fill out the following waiver form to participate. I promise not to share your personal information.

Waiver Form

By Submitting this form
I agree to the following terms:

Participation in any sport carries
the danger of injury, minor or serious,
and even the possibility of death.
Knowing the dangers and risks involved
I voluntarily assume all responsibility
and risk of loss, damage, illness and/or
injury to my person or property.

Statistics on fencing rates of injury
are available online at:
Fencing Injury Study 		Student: 
Birthday:
Parent:      
Parent:      
Phone #:  
Cell #:       
Email:        

Emergency Contact
Name:
Phone:
Allergies & Medical Concerns


Allow student to appear in pictures
for promotional purposes (yes/no):

This section is for the Student

I agree to the following rules:

I agree to use all safety gear
and never use unsafe things
as swords in or out of class.

I understand that participation in
any activity is optional and that I
can opt out of an activity or choose
not to fence with any individual.

I agree to report any concerns
or problems to Thomas immediately.