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Introductory clinic to fencing. Try out this exciting olympic sport! Wear comfortable athletic long pants (sweatpants, no shorts, no jeans) and athletic shoes (sneakers, etc) and bring a water bottle. All fencing gear will be provided. The afternoon clinic is for ages 12 and up. Adults welcome.

Event:

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End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

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	Student's First Name: *	Last Name: *
	Student Gender:	Birth Date: * (format=mm/dd/yyyy)
	Grade Level:
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):

Additional Information:

USA Fencing Membership Waiver

READ BEFORE SIGNING
In consideration and as a condition of my and/or my minor child's being granted membership in the United States Fencing Association ("USA Fencing") and/or being allowed to participate in any way in USA Fencing and its related events and activities, I acknowledge and agree, on my own behalf and on behalf of any child or other person for whom I am signing this document ("I" or "myself" or "my" being construed hereinafter to include all such persons), as follows:
SUBMISSION TO RULES: I agree to abide by the current rules of USA Fencing as set forth in, among other things, the Bylaws, Rules of Competition, Athlete Handbook, Operations Manual, USA Fencing Safe Sport Policy, USOC Safe Sport Code (including the Practices and Procedures and Supplementary Rules appended thereto) and USADA Rules, all as now constituted and as may be amended from time to time.
ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY: I acknowledge and agree as follows:
1. The risks of injury from the activities involved in the sport of fencing and related activities are significant, including the potential for serious injury, disability or death, and while particular skills, equipment, and personal discipline may reduce those risks, the risks may continue to exist; and,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, whether known or unknown, apparent or latent, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES (defined below) or others, and assume full responsibility for my participation; and,
3. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY AND HOLD HARMLESS USA FENCING, and all affiliated sections, divisions, clubs, host organizations, officers, directors, athletes, referees, coaches, volunteers, officials, club members, individual members, agents, employees, contractors, participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners or lessors of premises used for the activity ("Releasees"), WITH RESPECT TO ANY AND ALL CLAIMS, DEMANDS AND CAUSES OF ACTION ALLEGING OR ARISING FROM ANY PERSONAL INJURY, DISABILITY, DEATH, or loss or damage to person or property, that may occur or has occurred, in connection with the sport of fencing or related activities, WHETHER OR NOT ARISING FROM THE NEGLIGENCE OF ANY OF THE RELEASEES, to the fullest extent permitted by law. I HAVE READ THIS ASSUMPTION OF RISK, WAIVER AND RELEASE OF LIABILITY AGREEMENT FULLY, UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY. DRUG TESTING: I understand that, pursuant to the rules and regulations of USA Fencing, the US Anti-Doping Agency ("USADA") and/or the World Anti-Doping Agency, drug testing may be conducted for athletes who compete in tournaments conducted, sponsored and/or sanctioned by USA Fencing, and that detection of the use of banned drugs would be cause for penalties including but not limited to suspension for a period of time, based upon factors including the substance(s) detected. In consideration of being granted membership in USA Fencing and/or being allowed to participate in any way in the USA Fencing and its related events and activities, I agree to familiarize myself with and to comply with USADA's and other applicable anti-doping rules. Without limiting the generality of the foregoing, I consent to be subject to drug testing and to penalties if declared positive for a banned substance. I am aware that failure to comply with any selection for a drug test will be cause for the same penalties as for those who are positive for a banned substance. I realize that there are OVER-THE COUNTER medications that may contain banned substances and that it is my responsibility to insure that I do not inadvertently take any medication that contains a banned substance. I know that I may call the USADA
hotline, 800-233-0393 for questions about medications and banned substances or practices.
I've read the above and agree.

MAAP Certification Statement

I certify that I have been provided a copy and understand the MAAPP Policies as described by the U.S. Center for SafeSport, in compliance with USA Fencing. The MAAPP Policies, the USA Fencing SafeSport Policy and SafeSport resources can be found at www.usafencing.org/safe-sport.
I've read the above and agree.

Medical Emergencies

In the event of any injury to me or emergency while at MTFC or while participating in MTFC Fencing Activities, I grant permission to MTFC and its representatives to provide and/or seek appropriate medical attention. I understand that, in the event of an emergency, MTFC will attempt to notify the Emergency Contact I have provided herein, but may not be successful. All financial responsibility for medical care will be assumed by me.

I've read the above and agree.

Publicity Release

The Metro Tacoma Fencing Club (MTFC) uses photographs of student fencers and coaches are to document the MTFC fencing experience in club brochures and promotional material, the club website, and through social media (such as Facebook). MTFC members and individuals fencing at the MTFC facility will be photographed periodically during lessons, demonstrations, tournaments, and at other times. In addition, MTFC fencers occasionally may have their photograph taken by members of the news media. Many fencers and their families enjoy seeing their picture in MTFC promotional materials, on the MTFC website and social media, and in the newspaper or other news media. MTFC, however, wishes to respect the wishes of those fencers and families who do not wish for their fencer to be identified or to have their photograph published.
I've read the above and agree.

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