Registration- Dominick Epee Challenge - April 30th, 2006

Items in Bold must be filled out.

Name:
Address:
City:
State:
Zip:

Club:

Division:
College:
Male/Female
Phone:
Email:
Classification: Enter the Letter and year (example C03): Epee
Note: If you have never received a classification, you are a U - unrated.
Open Women's Epee, 8:00 AM
Youth 12 Epee, 9:00 AM
Open Men's Epee, 9:30 AM

Number of events entered: 

One event $20, two events $30, three events $40.  Total Amount Due: $

Note:
  • You do not have to pre-register for the team event.  You will enter and register your team immediately after Open Men's Epee is finished.  Also keep in mind that seeding for the team event is based on the combined finishes (either Men's or Women's events) of the three primary members of your team.  If a team member did not fence, he/she will receive a zero for seeding.  Cost per team is $45.
  • Women can fence in the men's event for $10 only if they fence in the corresponding women's event. If there are less than 6 women in the women's event, they can fence in the men's event for free.
  • If you did not pre-register, or if you register after April 28th, 2006, your cost will be $25 for the first event.
  • Confirmation of entry by email only.

Make checks payable to: Illinois Fencers Club. All checks/cash will be collected on the day of the competition.

If you have any special needs or instructions, please type them in the text area below.

Waiver of Liability
Please read the following carefully, check the confirm box if you agree to the terms, then Submit.

Upon entering these events sponsored by the USFA and/or its member Divisions, I agree to abide by the rules of the USFA, as currently published. I understand and appreciate that participation in a sport carries a risk to me of serious injury, including permanent paralysis or death. I voluntarily and knowingly recognize, accept and assume this risk and release the USFA, their sponsors, event organizers and officials from any liability.

Fencer's, or Parent/Guardian Confirmation (if Fencer under 18 years of age):
You must confirm this to be able to submit.