Youth Last Name

Youth First Name

Parent Email

Parent 1 Mobile

Parent 1 Last Name

Parent 1 First Name

Parent 2 Last Name

Parent 2 First Name

Citizenship

Address 1

Country of Representation

Address 2

City

Zip Code

Home Phone

Parent 2 Mobile

Student Mobile

Student Email

Emergency Contact

Contact Telephone

Student D.O.B.

School Name

Current Grade

Principal Name

Previous Clubs/Teams

Household Size - # of Adults

Household Size - # of Youth

If Yes, please provide details:

Registration fee includes membership in the United States Fencing Association, the national governing body for the sport of fencing in the United States.

YOUTH REGISTRATION