Step 1 of 4 - General Information25%Name of Student* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Year of Birth*Phone*(primary emergency contact)Alternative Emergency Contact Phone Number*(alternative emergency contact)Parent's Name 1* First Last Parent Name 2 First Last Parent's Email* Date of student's final COVID vaccination, if applicable*Please list any medical conditions that we should be aware of (allergies, disabilities, etc.).Choose Your Program* Beginner Class Adult Class Intermediate Class Youth Competitive Class Cadet Class Junior Class Elite Class Beginner Summer Program Intermediate Summer Program Competitive Summer Program High Performance Summer ProgramChoose Your Age Group* Youth 10 Youth 12 Youth 14 AdultagesPlease Select A Class Time* SATURDAY 11:00 - 12:30PM SATURDAY 3:00 - 4:30PM TUESDAY 4:30 - 5:00PMyouth 10 beginnerPlease Select A Class Time* SATURDAY 11:00 - 12:30PM MONDAY 7:00 - 8:30PMadultPlease Select A Class Time* SATURDAY 1:00 - 2:30PM THURSDAY 4:30 - 6:00PMyouth 12 beginnerPlease Select A Class Time* SATURDAY 1:00 - 2:30PMyouth 14 beginnerPlease Select A Class Time* TUESDAY 6:30 - 8:00pm FRIDAY 5:00 - 6:30PMY10/12 intermediatePlease Select A Class Time* TUESDAY 6:30 - 8:00pm FRIDAY 5:00 - 6:30PMY10/12 intermediatePlease Select A Class Time* MONDAY 7:00 – 8:30PM SATURDAY 11:00 - 12:30pmadultPlease Select A Class Time* WEDNESDAY 7:00 – 8:30PMY14 intermediateChoose A Session:* SESSION 1: Wednesday, September 8 – Tuesday, October 26, 2021 SESSION 2: Wednesday, October 27 – Tuesday, December 21, 2021 (no classes during Thanksgiving break: Monday, November 22 – Sunday, November 28, 2021) SESSION 3: Monday, January 3 – Saturday, February 19, 2022 SESSION 4: Monday, February 28 – Saturday, April 16, 2022 SESSION 5: Monday, April 25 – Monday, June 13, 2022 (no classes on Memorial Day, May 30, 2022)beginner, intermediate, adult sessionsPlease Select An Option Below:* GROUP CLASSES: Monday & Wednesday 5:00 – 6:30PM | BOUTING CLASS: Friday 5:00 – 9:00PMYCPlease Select An Option Below:* GROUP CLASSES: Monday 5:00 – 6:30PM | BOUTING CLASS: Friday 5:00 – 9:00PM GROUP CLASSES: Wednesday 5:00 – 6:30PM | BOUTING CLASS: Friday 5:00 – 9:00PM GROUP CLASSES: Monday & Wednesday 5:00 – 6:30PM | BOUTING CLASS: Friday 5:00 – 9:00PMCadetPlease Select An Option Below:* GROUP CLASSES: Tuesday & Thursday 5:00 – 6:30PM | BOUTING CLASS: Friday 5:00 – 9:00PMJuniorPlease Select An Option Below:* Beginner Summer Program, July 5 - 10, 2021 Beginner Summer Program, July 26 - 30, 2021Beginner Summer ProgramPlease Select An Option Below:* Intermediate Summer Program, August 2 - 6, 2021Intermediate Summer ProgramPlease Select An Option Below:* Competitive Summer Program, August 9 - 13, 2021 (Y10, Y12)Competitive Summer ProgramPlease Select An Option Below:* High Performance Summer Program, July 14 - 20, 2021 High Performance Summer Program, August 23 - 27, 2021High Performance Summer ProgramPlease Select A Class Time* GROUP CLASSES: Monday - Thursday 7:00 - 9:00PM | BOUTING: Friday 5:00 - 9:00PMEliteWAIVER OF LIABILITY I UNDERSTAND THAT PARTICIPATION IN ANY SPORT CARRIES A RISK OF SERIOUS INJURY. I KNOWINGLY ACCEPT AND ASSUME THIS RISK AND RELEASE ZETA FENCING, ITS SPONSORS, INSTRUCTORS AND OFFICERS OF ANY LIABILITY.waiver* I have read and agree with the above statementwaiverwaiverCONSENT FOR MEDICAL TREATMENT I GIVE MY CONSENT TO THE STAFF AND COACHES OF ZETA FENCING TO OBTAIN MEDICAL CARE FROM ANY LICENSED PHYSICIAN, HOSPITAL OR CLINIC FOR ANY INJURY OR ILLNESS THAT MAY ARISE DURING ACTIVITIES ASSOCIATED WITH ZETA FENCING.medical* I have read and agree with the above statementmedicalmedicalZETA FENCING COVID-19 COMPLIANCE BY USING OUR FACILITIES, YOU AGREE TO ABIDE BY ALL POSTED COVID-19 GUIDELINES. IF UNVACCINATED, MY FENCER WILL WEAR A FACE COVERING AT ALL TIMES WHIL ON ZETA PREMISES. DOWNLOAD HEREcovid* I have read and agree with the above statementcovidcovidZETA FENCING CODE OF CONDUCT IN ORDER TO ENSURE A SAFE, PRODUCTIVE AND SPORTSMANLIKE ATMOSPHERE FOR ALL OUR MEMBERS, EVERYONE WHO USES OUR FACILITY MUST ADHERE TO ZETA FENCING’S CODE OF CONDUCT. BY USING OUR FACILITIES, YOU AGREE TO ABIDE BY THIS CODE AND BE SUBJECT TO ITS DISCIPLINARY PROVISIONS. DOWNLOAD HEREconduct* I have read and agree with the above statementconductconductZETA FENCING MEDIA POLICYZETA FENCING OCCASIONALLY USES PHOTOS OF FENCERS TAKEN AT THE CLUB OR AT COMPETITIONS FOR PROMOTIONAL PURPOSES ON THE ZETA FENCING WEBSITE, FACEBOOK PAGE, INSTAGRAM FEED, IN INFORMATION BROCHURES AND SIMILAR PUBLICATIONS. ZETA FENCING WILL NEVER SELL OR TRADE PHOTOS.* I give permission for my/my child's photo to be used for promotional purposes by Zeta Fencing I do not give permission.COMMITMENT POLICY & CLUB MEMBERSHIP I AGREE TO ENROLL FOR THE FULL 7-WEEK SESSION, TO PAY THE FULL TUITION, AND TO REGISTER FOR A NON-COMPETITIVE MEMBERSHIP WITH USA FENCING.committment* I have read and agree with the above statementcommittmentCOMMITMENT POLICY & CLUB MEMBERSHIP THIS IS A TEN (10) MONTH COMPETITIVE PROGRAM (FROM THE DATE OF ENROLLMENT UNTIL JUNE 30, 2022). ENROLLMENT IN THE PROGRAM IS A CONTRACTUAL OBLIGATION TO FINISH THE PROGRAM IN FULL AND STUDENTS (INCLUDING SIGNATORY PARENTS AND GUARDIANS) ARE RESPONSIBLE FOR PAYMENT OF ALL TUITION AND RELATED FEES THROUGH THE END OF THE PROGRAM EVEN IF THEY WITHDRAW PRIOR TO COMPLETION. Initial THE CLUB MEMBERSHIP IS VALID FROM SEPTEMBER 1, 2021 UNTIL AUGUST 31, 2022. CLUB MEMBERSHIP FEES ARE NOT SUBJECT TO REIMBURSEMENT IN ANY CASE. ENROLLMENT IN A COMPETITIVE PROGRAM REQUIRES A CURRENT CLUB MEMBERSHIP AND A COMPETITIVE MEMBERSHIP WITH USA FENCING. I HAVE READ ZETA FENCING’S COMMITMENT POLICY AND AGREE TO ITS TERMS. I AM KNOWINGLY SIGNING A BINDING 10-MONTH CONTRACT AND AM AWARE OF MY CONTRACTUAL OBLIGATIONS.commitment* I have read and agree with the above statementcommitmentCOMMITMENT POLICY & CLUB MEMBERSHIP ENROLLMENT IN THE CADET PROGRAM REQUIRES A CURRENT CLUB MEMBERSHIP AND AT LEAST A NON-COMPETITIVE MEMBERSHIP WITH USA FENCING. FENCERS PLANNING TO COMPETE MUST PURCHASE A COMPETITIVE USA FENCING MEMBERSHIP. CLUB MEMBERSHIP IS VALID FROM SEPTEMBER 1, 2021 THROUGH AUGUST 31, 2022. CLUB MEMBERSHIP FEES ARE NOT SUBJECT TO REIMBURSEMENT IN ANY CASE. PROGRAM FEES PREPAID FOR THE SEASON ARE NON-REFUNDABLE IN ANY CASE AND CAN ONLY BE TRANSFERRED TO ANOTHER ZETA PROGRAM. MONTHLY TUITION PAYMENTS ARE NON-REFUNDABLE IN ANY CASE AND CAN ONLY BE TRANSFERRED TO ANOTHER ZETA PROGRAM. STUDENTS MAY UPGRADE FROM 1 GROUP CLASS/WEEK TO 2 AT ANY TIME AND MUST THEN PAY THE HIGHER PROGRAM FEES. THERE ARE NO REFUNDS OF PAID CLASS FEES FOR FENCERS CHOOSING TO DOWNGRADE FROM 2 CLASSES TO 1 CLASS. I HAVE READ ZETA FENCING’S PAYMENT POLICY AND AGREE TO ITS TERMS. I AM KNOWINGLY SIGNING A BINDING 10-MONTH CONTRACT AND AM AWARE OF MY CONTRACTUAL OBLIGATIONS.payment* I have read and agree with the above statementpaymentPAYMENT OF PROGRAM FEES PROGRAM FEES ARE DUE ON THE 1ST DAY OF EACH MONTH. DISCOUNTED PAYMENTS FOR THE FULL SEASON MUST BE RECEIVED ON OR BEFORE AUGUST 15, 2021. I AGREE TO PAY PROGRAM FEES ON TIME. FOR EACH LATE PAYMENT, I WILL AUTOMATICALLY ADD A PROCESSING FEE OF $ 40.payment of fees* I have read and agree with the above statementpayment of feespayment of feesPROGRAM REQUIREMENTS REGULAR CLASS ATTENDANCE IS REQUIRED, INCLUDING BOUTING ON FRIDAYS. PLEASE INFORM COACHES ABOUT ALL NECESSARY ABSENCES IN A TIMELY MANNER. Initial YOUTH COMPETITIVE AND JUNIOR CLASS STUDENTS MUST TAKE AT LEAST 1 (ONE) INDIVIDUAL LESSON PER WEEK. EACH LESSON LASTS 25 MINUTES, COSTS $50, AND MUST BE PAID IN FULL AT THE TIME OF THE LESSON. LESSONS THAT ARE NOT CANCELED AT LEAST 24 HOURS IN ADVANCE HAVE TO BE PAID IN FULL. YOUTH COMPETITIVE AND JUNIOR CLASS FENCERS ARE REQUIRED TO COMPETE AT THE LOCAL, REGIONAL, AND NATIONAL LEVEL IN CONSULTATION WITH THEIR LESSON COACH.PROGRAM REQUIREMENTS REGULAR CLASS ATTENDANCE IS REQUIRED, INCLUDING BOUTING ON FRIDAYS. PLEASE INFORM COACHES ABOUT ALL NECESSARY ABSENCES. CADET STUDENTS MAY REGISTER FOR 1 (ONE) INDIVIDUAL LESSON PER WEEK WITH A LESSON COACH. EACH LESSON LASTS 25 MINUTES, COSTS $50, AND MUST BE PAID IN FULL AT THE TIME OF THE LESSON. LESSONS THAT ARE NOT CANCELED AT LEAST 24 HOURS IN ADVANCE HAVE TO BE PAID IN FULL. CADET FENCERS MAY COMPETE AT LOCAL AND REGIONAL COMPETITIONS IN WHICH CASE THEY MUST HOLD A COMPETITIVE USA FENCING MEMBERSHIP.PROGRAM REQUIREMENTS ELITE CLASSES ARE OFFERED FOUR TIMES PER WEEK, MONDAY - THURSDAY. ATTENDANCE OF ALL FOUR CLASSES PER WEEK AND OPEN BOUTING ON FRIDAYS IS REQUIRED. PLEASE INFORM COACHES ABOUT ALL NECESSARY ABSENCES. ELITE STUDENTS MUST TAKE AT LEAST 2 (TWO) INDIVIDUAL LESSONS PER WEEK. EACH LESSON LASTS 25 MINUTES, COSTS $50 AND MUST BE PAID AT THE TIME OF THE LESSON. LESSONS THAT ARE NOT CANCELED AT LEAST 24 HOURS IN ADVANCE HAVE TO BE PAID IN FULL. Initial STUDENTS IN THE ELITE PROGRAM MUST ATTEND THE COMPLETE USA FENCING NATIONAL TOURNAMENT CIRCUIT FOR THEIR AGE GROUP (NACS, JUNIOR OLYMPICS, SUMMER NATIONALS). I AGREE TO THE PROGRAM’S REQUIREMENTS AND UNDERSTAND THAT STUDENTS WILL BE EXCLUDED FROM THE PROGRAM IF THEY ARE NOT IN COMPLIANCE.program requirements* I have read and agree with the above statementprogram requirementsPlease Select Your Leasing Fee Option:* $300 fully refundable deposit for complete fencing equipment loan (check or cash only) $150 fully refundable deposit for partial fencing equipment loan (check or cash only) I have already paid it. Not applicablePlease Select Annual Club Membership Option* I have already paid my annual Zeta Club membership Zeta Fencing Club Membership ($350 / season) Additional Family Zeta Fencing Club Membership (per sibling/parent) $175 / seasonyouth, cadet, junior, eliteChoose Your Preferred Payment Schedule* $300 per 7-week session $225 per 7-week session (second family member discount) $450 per 2 x 7-week session $335 per 2 x 7-week session (second family member discount)beginner intermediate adultChoose Your Preferred Payment Schedule* $500 $375 (for second sibling)beginner intermediate summer programsChoose Your Preferred Payment Schedule* $600 (Club member) $650 (Non-Club member) $450 (Club member sibling fee) $500 (Non-Club member sibling fee)Comp. & HP summer programsChoose Your Preferred Payment Schedule* $270 due on the 1st of each month $225 discounted monthly payment for second sibling, due on the first of each month $2,400 full season pre-payment, check or cash ONLY, payment deadline August 15, 2021 $2,000 second sibling full season pre-payment, check or cash ONLY, payment deadline August 15, 2021YCChoose Your Preferred Payment Schedule* $230 (one weekly group class) due on the 1st of each month $2,000 full season pre-payment (one weekly group class), check or cash ONLY, payment deadline August 15, 2021 $170 (one weekly group class) discounted monthly payment for second sibling, due on the 1st of each month $1,500 second sibling full season pre-payment (one weekly group class), check or cash ONLY, payment deadline August 15, 2021 $300 (two weekly group classes) due on the 1st of each month $2,700 full season pre-payment (two weekly group classes), check or cash ONLY, payment deadline August 15, 2021 $225 (two weekly group classes) discounted monthly payment for second sibling, due on the first of each month $2,000 second sibling full season pre-payment (two weekly group classes), check or cash ONLY, payment deadline August 15, 2021cadetChoose Your Preferred Payment Schedule* $300 due on the 1st of each month $2,700 full season pre-payment, check or cash ONLY, payment deadline August 15, 2021 $225 discounted monthly payment for second sibling, due on the first of each month $2,000 second sibling full season pre-payment, check or cash ONLY, payment deadline August 15, 2021juniorChoose Your Preferred Payment Schedule* $400 due on the 1st of each month $3,600 full season pre-payment, check or cash ONLY, payment deadline August 15, 2021 $300 discounted monthly payment for second sibling, due on the first of each month $2,700 second sibling full season pre-payment, check or cash ONLY, payment deadline August 15, 2021elitePayment Option* PayPal Cash or Check Bank TransferPlease send your payment to: Zeta Fencing 11 South Main Street Natick, Massachusetts 01760Total $0.00 ENROLLMENT CAN ONLY BE CONFIRMED AFTER RECEIPT OF TUITION PAYMENT.ADMISSION TO ANY INTERMEDIATE CLASS REQUIRES COACH’S APPROVAL.ADMISSION TO ANY CADET CLASS REQUIRES COACH’S APPROVAL.ADMISSION TO ANY COMPETITIVE CLASS REQUIRES THE SENIOR SABER COACH'S APPROVAL.ADMISSION TO THE ELITE CLASS REQUIRES THE HEAD COACH'S APPROVAL.APPLICATIONS ARE ACCEPTED IN THE ORDER IN WHICH THEY ARE RECEIVED.I have read and understand my contractual obligations with Zeta Fencing. Please Sign Below:*Today's Date MM slash DD slash YYYY
