Please Print this page and fill it out to sign up for the camps. Dallas Fencers Club Summer Camp. At the Oak Hill Academy 9407 Midway Rd. Dallas Tx 214-629-5358 Nationally acclaimed fencing coach, Waldek Czaja, is offering camps for beginner fencers, ages 6 and up. Two camp dates to choose from: June 9th thru June 13th or July 21st thru July 25th. Time: 9:30 AM until 2:00 PM Cost: $180 Class size is limited. Send registration and payment to: Dallas Fencers Club, the Oak Hill Academy, 9407 Midway Rd. Dallas, Tx 75220 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 9-June 13____ July 21-25____ Both____ Name:_____________________________________________________ Parents:__________________________________________________ Address:__________________________________________________ Home phone:_______________________________________________ Mobile phone:_____________________________________________ Medical Conditions or Restrictions: _________________________________________________________ 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:___________________