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* Please list any medical conditions that we should be aware of (allergies, disabilities, etc.).Choose Your Class*Beginner ClassIntermediate ClassPre- & Youth Competitive ClassCadet Competitive ClassHigh Performance Training ClassPlease Select The Appropriate Age Group*YOUTH 10 (Ages 8-11)YOUTH 12 (Ages 12 and up)(Beginner and Intermediate)Please Select A Class Time*MONDAY 5:00 - 6:30PMSATURDAY 11:00 – 12:30PMZOOM CLASS ONLY: FRIDAY 4:00 - 5:00PMYouth 10 / beginnerPlease Select A Class Time*SATURDAY 1:00 - 2:30PMZOOM CLASS ONLY: FRIDAY 4:00 - 5:00PMyouth 12 beginnerPlease Select A Class Time*TUESDAY 5:00 - 6:30pmZOOM CLASS ONLY: FRIDAY 4:00 - 5:00PMintermediatePlease Select A Class Time*THURSDAY 5:00 – 6:30PMZOOM CLASS ONLY: FRIDAY 4:00 - 5:00PMintermediateChoose A Session:*SESSION 5: Monday, April 26 – Monday, June 14, 2021 (no classes on Memorial Day, May 31)beginner and intermediatePlease Select An Option Below:*PRE-COMPETITIVE CLASS: Wednesday & Friday 5:00 - 6:30PM (2nd floor) | COMPETITIVE BOUTING CLASS: Saturday 3 – 4:30PM (3rd floor)YOUTH COMPETITIVE CLASS: Monday, Wednesday 5:30 – 7:00PM | COMPETITIVE BOUTING CLASS: Friday 5 – 6:30PMZOOM CLASS ONLY: Monday & Wednesday: 4 – 5PMpre and youthPlease Select A Class Time*WEEKDAY CLASSES: Tuesday and Thursday 5:00 - 7:00PM | COMPETITIVE BOUTING: Friday 7:00 - 9:00PMZOOM CLASS ONLY: Monday and Wednesday 4 - 5PMCadetPlease Select A Class Time*WEEKDAY CLASSES: Monday - Thursday 7:30PM - 9:30PM | COMPETITIVE BOUTING: Sunday 11:00AM - 1:00PMZOOM CLASS ONLY: Monday & Wednesday: 4 – 5PMhigh performanceWAIVER 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.* 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.* 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 AND TO SUBMIT A CURRENT AND COMPLETE COVID-19 QUESTIONNAIRE BEFORE ATTENDING THE FIRST CLASS. DOWNLOAD HERE* I have read and agree with the above statementcovidcovidCONSENT FOR ZOOM CLASS I GIVE MY CONSENT TO THE STAFF AND COACHES OF ZETA FENCING TO CONDUCT VIRTUAL TRAINING SESSIONS VIA ZOOM OR SIMILAR ONLINE COMMUNICATION.* I have read and agree with the above statementzoomzoomZETA 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 HERE* 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 FencingI do not give permission.COMMITMENT POLICY & CLUB MEMBERSHIP I AGREE TO ENROLL FOR THE FULL 7-WEEK SESSION, TO PAY THE FULL TUITION OF EITHER $150 OR $ 280, AND TO REGISTER WITH USA FENCING.COMMITMENT POLICY & CLUB MEMBERSHIP THIS IS A TEN (10) MONTH COMPETITIVE PROGRAM (FROM THE DATE OF ENROLLMENT TO THE END OF JUNE 2021). 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. THE CLUB MEMBERSHIP TERM IS SEPTEMBER 1, 2020 THROUGH AUGUST 31, 2021. 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 AM KNOWINGLY SIGNING A BINDING 10-MONTH CONTRACT AND AM AWARE OF MY CONTRACTUAL OBLIGATIONS.* I have read and agree with the above statementcommittmentPAYMENT OF PROGRAM FEES PROGRAM FEES ARE DUE IN FULL ON THE 1ST DAY OF EACH MONTH. DISCOUNTED PAYMENT FOR THE FULL SEASON MUST BE RECEIVED ON OR BEFORE SEPTEMBER 1, 2020. I AGREE TO PAY PROGRAM FEES ON TIME, WHICH IS ON OR BEFORE THE 1ST DAY OF THE MONTH OF CLASSES. FOR EACH LATE PAYMENT, I WILL AUTOMATICALLY ADD A PROCESSING FEE OF $ 40.* I have read and agree with the above statementpayment of feespayment of feesPROGRAM REQUIREMENTS REGULAR CLASS ATTENDANCE IS REQUIRED. PLEASE INFORM YOUR COACHES ABOUT ALL NECESSARY ABSENCES IN A TIMELY MANNER. COMPETITIVE STUDENTS ARE REQUIRED TO TAKE AT LEAST 1 (ONE) INDIVIDUAL LESSON PER WEEK. IT IS THE FENCER’S RESPONSIBILITY TO SCHEDULE THEIR LESSON. EACH LESSON LASTS 25 MINUTES AND COSTS $50. LESSONS THAT ARE NOT CANCELED AT LEAST 24 HOURS IN ADVANCE HAVE TO BE PAID IN FULL. COMPETITIVE FENCERS ARE STRONGLY ENCOURAGED TO ATTEND THEIR DESIGNATED COMPETITIVE BOUTING CLASS.PROGRAM REQUIREMENTS HIGH PERFORMANCE CLASSES ARE OFFERED FOUR TIMES PER WEEK, MONDAY - THURSDAY. ATTENDANCE OF ALL FOUR CLASSES PER WEEK AND THE COMPETITIVE BOUTING CLASS ON SUNDAYS IS REQUIRED. PLEASE INFORM COACHES ABOUT ALL NECESSARY ABSENCES. HIGH PERFORMANCE STUDENTS ARE REQUIRED TO TAKE AT LEAST 2 (TWO) INDIVIDUAL LESSONS PER WEEK. IT IS THE FENCER’S RESPONSIBILITY TO SCHEDULE THEIR LESSONS. EACH LESSON LASTS 25 MINUTES AND COSTS $50. LESSONS THAT ARE NOT CANCELED AT LEAST 24 HOURS IN ADVANCE HAVE TO BE PAID IN FULL. MEMBERS OF THE HIGH PERFORMANCE PROGRAM ARE REQUIRED TO 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.* I have read and agree with the above statementprogram requirementsPlease Select Your Leasing Fee Option:*$250 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 membershipZeta Fencing Club Membership ($300 / season)Additional family Zeta Fencing club membership (per sibling/ parent) $150 / seasonpre, youth, cadet, highChoose Your Preferred Payment Schedule*$280 per 7-week session$210 per 7-week session (family discount for multiple siblings)$150 per 7-week session Zoom class onlybeginner interChoose Your Preferred Payment Schedule*$240 due on the 1st of each month$180 discounted monthly payment for second sibling, due on the first of each month$150 Zoom Class only$2,200 payable by check or cash ONLY, payment deadline September 1, 2020pre youthChoose Your Preferred Payment Schedule*$270 due on the 1st of each month$200 discounted monthly payment for second sibling, due on the first of each month$150 Zoom Class only$2,450 payable by check or cash ONLY, payment deadline September 1, 2020cadetChoose Your Preferred Payment Schedule*$360 due on the 1st of each month$270 discounted monthly payment for second sibling, due on the first of each month$150 Zoom Class only$3,300 payable by check or cash ONLY, payment deadline September 1, 2020highPayment Option*PayPalCash or CheckBank 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 COMPETITIVE CLASS REQUIRES THE SENIOR SABER COACH'S APPROVAL.ADMISSION TO THE HIGH PERFORMANCE 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 Date Format: MM slash DD slash YYYY
