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Dallas Fencers Club Summer Camp.

14540 E Beltwood Parkway, Dallas TX 75244

214-629-5358

Nationally acclaimed fencing coach, Waldek Czaja, is offering camps for beginner fencers, ages 6 and up. Three camp dates to choose from: June 20-24, July 18-22 and Aug 8-12.

Time: 9:30 AM until 2:00 PM Cost: $225 Class size is limited.

Send registration and payment to: Dallas Fencers Club, 14540 E Beltwood Parkway suite #600, Dallas TX 75244

or call 214-629-5358 for information about on-site registration.

Campers should wear shorts, t-shirt and athletic shoes. Bring a sack lunch and drink.

Register us for June 20 - June 24.____ July 18 - July 22____ August 8 - August 12____ All Three____

Name:_____________________________________________________

Parents:__________________________________________________

Address:__________________________________________________

Home phone:_______________________________________________

Mobile phone:_____________________________________________

Medical Conditions or Restrictions:

_________________________________________________________

Fencers age

_________________________________________________________

Is the fencer right or left handed?:

_________________________________________________________

Is the fencer male of female?:

_________________________________________________________

I authorize the coach or manager in charge to consent to medical treatment when either I or my assignee cannot be contacted. I agree to hold harmless from any and all responsibility arising from any injuries or damages resulting from or in connection with the participation of the student in this camp and further agree to indemnify the coaches, instructors, appointed agents or appointed volunteers, by virtue of any of their acts or omissions related to such activities.

Signature of Parent or Guardian:__________________________________________

Date:___________________