Kanata Fencing Club Registration Form


Items marked with (*) are mandatory.

Athlete Name (*)
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Birthdate / /
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Sex (*)
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Address (*)
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Health Card Number (*)
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Email (*)
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Telephone Number (*)
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Language (*)
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Alternate Language
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Parent Name (if athlete is under 18 years)
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Parent Telephone (Home):
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Parent Telephone (Work)
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Cell Number
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Family Doctor
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Doctors Telephone Number
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Health History













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Other Medical Details:
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CFF License (if you have one)
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NCCP Number (if you have one)
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FIE Number (if you have one)
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Do you require club equipment?
($80 deposit, $20 for a 3-month rental) (*)
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Foil (left or right handed) (*)
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Jacket
Measure around the widest part of your chest,
full breath of air.
(*)
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Glove
Measure around the hand at the knuckles
below the fingers, not including thumb.
(*)
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Mask
Measure under chin, through middle of ear
to top front of head all the way around.
(*)
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Do you want to pay online? (*)

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Kanata Fencing Membership Fees








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Total Payment
(Clicking 'Submit' below will re-direct you to the secure PayPal site.)
0.00 CAD

Waiver and Assumption of Risk
Do you accept the conditions of this waiver? (*)
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You must accept these conditions to be a member of the Kanata Fencing Club.