University of PEI fencing Club / PEI Fencing Association 2007-2008 Registration Form

Name:______

Mailing Address:______

City/Town:______

Postal Code:______E-Mail Address:______

Phone:______

Birthdate:______

Types of Membership: Please tick the appropriate box. □ Competitive Membership required for all fencing activity: regional, provincial and national (includes $10 Canadian Fencing federation license) □ Recreational Membership □ Associate Membership (no fencing privileges)

Fee Structure: Please tick the appropriate box. UPEI staff or faculty who have paid their Sport Centre fee are considered UPEI students for club fee payment purposes. (NOTE: ALL FEES INCLUDE INSURANCE WITH SPORT P.E.I. AND THE CANADIAN FENCING FEDERATION.) □ I am a UPEI student ($80 per annum includes $10 CFF license).

□ I am UPEI alumnus ($100 per annum includes $35 Sport Centre usage fee and $10 CFF license). □ I am UPEI alumnus ($100 per annum includes $35 Sport Centre usage fee and $10 CFF license). □ I am not UPEI student

□ Recreational Membership ($150 per annum includes $35 Sport Centre usage fee and $10 CFF license). □ Competitive Membership ($150 per annum includes $35 Sport Centre usage fee and $10 CFF license). □ Associate Membership ($10 per annum).

Note: Black-soled sneakers and street shoes are not to be worn for fencing as they are forbidden in the gymnasium. Food and beverages may not be brought into the gymnasium. Change rooms should be used when changing into sports attire. Wet shoes must be left in the hallway.

As club equipment is limited, fencers are expected to make some equipment purchases during the course of the year

Notice of Warning

There is a potential risk for injury involved in training and participating in fencing, and we have tried to create and safe controlled environment for sport participation. The coaches and officials have established rules for participation and conduct on and about the playing area that must be obeyed under all circumstances.

Acknowledge of Notice

I, the undersigned Fencer1, have read and understand the above Notice of Warning. In full knowledge of this, I hereby release forever the University of Prince Edward Island Fencing Club (UPEIFC), the Prince Edward Fencing Association (PEIFA) and the Canadian Fencing Federation (CFF) from any responsibility or liability for permanent injury sustained by me (or results thereof), or for any damage sustained by my equipment and/or property, no matter how caused.

Signature2:______

Date:______

Registration and Payment

Please submit your registration dues with this form. Ensure that all address information is present and correct on both the UPEIFC and PEIFA registration sections—these portions of this form will separated. You (or your Parent or Legal Guardian) must sign and date the Acknowledgement of Notice, after reading the Notice of Warning. The form should then be submitted to the Registrar, along with your payment. Payment consists of the total of the items checked in the PEIFA Registration form and the UPEIFC Registration form. Please make cheques payable to the PEI Fencing Association. If more than one person in your family is joining, please fill out separate form for each member. Family groups (2 or more family members) qualify for a10% reduction in total fees as calculated before any other discounts.

1 Or Parent or Legal Guardian of fencer, if Fencer is under the age of18

2 Signature of Fencer, or Parent or legal Guardian (if Fencer is under the age of 18) is required to validate registration. Persons submitted unsigned forms will not be granted membership.