Camp Registration Form-Summer 2024 Intermediate Youth Saber

PDX Fencing Summer 2024 Intermediate Youth Fencing Camp

Enroll my child in the Youth Intermediate Saber Camp: July 22 – 26, 2024

Camps runs Mon – Fri from 9:15 a.m to 12 noon
Club members: $299.99 Non-members:$399.99

Enroll in this camp and our sports performance camp July 29- Aug 1 and save an additional $25 off the sports performance camp.

Save an extra 10% 0ff when you register and prepay by May 30th, to reserve your spot, or prepay 3 days in advance to save $25.00

All camp fees are fully refundable up to 30 days in advance, Cancellation fee of $50.00 within 15 days of camp start

Enroll my child in the Youth Intermediate Saber Camp July 22-26, 2024. Camp runs from 9:15 a.m - 12 noon.

Participant Name: Last

Participant Name: First

Camper Age

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 of the participant named above. I hereby give consent for him/her to participate in fencing instruction, bouting, games, physical fitness 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: $299.99. Non members $399.99. 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 Dr. Beaverton, OR 97005. If you pre-pay in full by May 30 save 10% off or 30 days in advance save $25.00. If enrolling in both camps additional $50.00 discount

Payment

ZELLE (pay to office@pdxfencing.com) VENMO (pay to: @pdxfencing.com Email:office@pdxfencing.com) Mail in check (PDX Fencing 5645 SW Arctic Drive Beaverton OR 97005) VISA/MC/Discover - I will phone in my card or come in with payment Email me an invoice i can pay online with a credit card ($2.99 serive charge)