Camp Registration - International Hi Performance Saber Summer 2024

International Hi Performance Summer Saber Fencing Camp 2024

Enroll my child/myself in the Summer 2024 International High Performance Saber Fencing Camp August 12-16, 2024. camp. Camp runs Mon – Fri. from 9:15 a.m – 3:45 p.m, daily, Private lessons and open bouting from 4-5 pm. Bring your lunch, must have full kit (electric gear).

Club Members: $599.99 Non-Club Members $699.99 Day Rate (for single day or partial attendance) $150.00

Prepay 30 days in adance and save $25.00

Participant Name/Nombre: Last

Participant Name: First

Participant age/Edad

Male or Female

Camper has no known allergies or medical conditions EXCEPT as known here (describe allegens, conditions, severity of reactions, treatment)

Your First & Last Name: Parent/LegalGuardian

Telephone number Including. area code:

Street Address

City

State

Zip Code

Emergency Contact during Camp: Name and phone number(s)

LIABILITY WAIVER & CONSENT : I am the parent and/or legal guardian/adult participant of the participant named above. I hereby give consent for him/her to participate in fencing instruction, bouting, games, physical fitness, field trips and any camp activities. I recognize and agree that participation in this camp and related activities includes strenuous physical activity and/or activities that may be potentially hazardous. I/we hereby accept the risks, waive and release all liability and all claims against PDX Fencing, its coaches, staff, agents, and volunteers for any injury or death to participant caused by accident or negligence. CONSENT FOR MEDICAL TREATMENT: This is to certify that I give my written consent to PDX FENCING and it's representatives to obtain medical care from any licensed physician, athletic trainer, hospital, clinic, paramedics, for any injury or illness that may arise during the fencing camp or while on the PDX Fencing premises. I understand that attempts to reach the emergency contacts I listed in this form will be made immediately.

Payment: Club Members: $599.99. Non members $699.99 Day Rate $150.00 (for single day attendance). Payment can be mailed in or paid while in the club. You can also pay online using the free Zelle app. VISA/MC/DISCOVER/ZELLE. If using Zelle pay to email: office@pdxfencing.com, By mail to: PDX Fencing, 5645 S.W. Arctic Drive. If you want an online invoice sent to you that you can pay with your credit card on line fill in your email address below. Paying in full 30 days prior gives you a $25.00 early pay discount.

Payment

ZELLE (pay to office@pdxfencing.com) VENMO (pay to: @PDXFencing email:office@pdxfencing.com) Mail in check (PDX Fencing 5645 SW Arctic Drive Beaverton OR 97005) VISA/MC/Discover - send me an invoice that I can pay online VISA/MC/Discover - I will phone in my card or come in with payment