* Fields in red must be completed

Add a New Member

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*Gender:femalemale   *Birth Date: 

Registering for a class: please select... Adult Beginning Foil Adult Intermediate Foil (Once-weekly) Adult Intermediate Foil (Twice-weekly) Beginning Epée for Foil Fencers

OR please select your weapon(s):foil epée sabre     Coach: Please select...Cole Harkness Connie Louie Dave Charles Deborah Bjonerud Gregory Massialas Kathy Krusen Marty Young Norm Mattox Peter Burchard Peter Ignatov Robert Handelman Scott Cunningham

USFA Member?yes no   USFA Membership Number:  

As a member of Halberstadt Fencers’ Club, I, the undersigned, agree that upon payment of dues as set forth below, I shall be entitled to use club facilities during Club hours, voting rights (Annual members over 18 only), and the privilege of representing the Halberstadt Fencers’ Club in competition. I understand that when I go onto the premises of Halberstadt Fencers’ Club, for any reason whatever, I do so at my own risk and that neither the Halberstadt Fencers’ Club, its officers, agents, or members, nor its landlord shall be liable for any damage, injury, or loss suffered by me in any manner, regardless of whether any such party was negligent or whether there has been compliance with the rules of the Club or the U.S. Fencing Association. I am aware of the dangers that can be involved in fencing and I warrant and promise to the Halberstadt Fencers’ Club that I shall take all necessary steps to protect others and myself from those dangers. I agree to pay my dues and class fees no later than the 5th working day of the month to which they apply, and that my failure to pay my dues shall result in the suspension of my membership privileges until all arrears have been paid in full.

* I agree to the terms of the Membership Agreement