Step 1 of 425%Name of Student* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Year of Birth*Phone*(primary emergency contact)Alternative Emergency Contact Phone Number(alternative emergency contact)Parent Name 1* First Last Parent Name 2 First Last Parent's Email* HiddenDate of student's most recent COVID vaccination or infectionPlease list any medical conditions that we should be aware of (allergies, disabilities, etc.).Choose Your Program* Beginner Class Adult Classes Intermediate Class Youth Competitive Class Cadet Class Junior Class Elite ClassChoose Your Age Group* Youth 1 (YOB 2013-16) Youth 2 (YOB 2011-2014) Youth 3 (YOB 2008-2012) Adult (17+) (YOB 2007 or older)agesPlease Select A Class Time MONDAY 4:30 - 6:00PMYouth 1 Beginner/IntermediatePlease Select A Class Time SATURDAY 11:00 - 12:30PMAdult BeginnerPlease Select A Class Time SATURDAY 11:00 - 12:30PM | COMBINED COMPETITIVE CLASS Friday 5:30 - 6:30PMAdult AdvancedPlease Select A Class Time SATURDAY 1 - 2:30PMYouth 2 Beginner/IntermediatePlease Select A Class Time WEDNESDAY 4:30 - 6PMYouth 3 Beginner/IntermediateHiddenPlease Select A Class Time* MONDAY 6:30 - 8:00pmYouth 1 intermediateHiddenPlease Select A Class Time* WEDNESDAY 6:30 - 8:00PMYouth 2 IntermediateHiddenPlease Select A Class Time* TUESDAY 4:30 - 6:00PMYouth 3 IntermediateChoose A Session:* SESSION 2: Wednesday, October 25 - Monday, December 18, 2023 SESSION 3: Wednesday, January 3 - Monday, February 27, 2024 SESSION 4: Wednesday, February 28 - Monday, April 22, 2024 SESSION 5: Wednesday, April 24 – Monday, June 10, 2024Beginner & Intermediate & Adult Beginner SessionsPlease Select An Option Below:* GROUP CLASSES: Monday & Wednesday 5:30 – 7:00PM | COMBINED COMPETITIVE CLASS: Friday 5:30 – 6:30PMYCPlease Select An Option Below:* 1 GROUP CLASS: Tuesday 5:30 - 7:00PM 1 GROUP CLASS: Thursday 5:30 - 7:00PM 1 GROUP CLASS: Saturday 3:00 - 4:30PM 2 GROUP CLASSES: Tuesday & Thursday 5:30 - 7:00PM 2 GROUP CLASSES: Tuesday 5:30 - 7:00PM & Saturday 3:00 - 4:30PM| 2 GROUP CLASSES: Thursday 5:30 - 7:00PM & Saturday 3:00 - 4:30PMCadetPlease Select An Option Below:* GROUP CLASSES: Tuesday & Thursday 5:30 – 7:00PM | COMBINED COMPETITIVE CLASS: Friday 5:30 – 6:30PMJuniorPlease Select A Class Time* GROUP CLASSES: Monday - Thursday 7:00 - 9:00PM | COMBINED COMPETITIVE CLASS: Friday 5:30 – 6:30PMEliteHiddenPlease Select a Summer Program Below:* Beginner/Intermediate Summer Program, July 10-14, 2023 Beginner/Intermediate Summer Program, July 17-21, 2023 Beginner/Intermediate Summer Program, July 31-August 4, 2023 Beginner/Intermediate Summer Program, August 14-18, 2023Beginner/Intermediate Summer ProgramHiddenPlease Select Summer Class Options Below: All Classes: 7/12, 7/14, 7/19, 7/21, 7/26, 7/28, 8/9, 8/11: 6-8PM July 12, 6-8PM July 14, 6-8PM July 19, 6-8PM July 21, 6-8PM July 26, 6-8PM July 28, 6-8PM August 9, 6-8PM August 11, 6-8PMsummer classesHiddenPlease Select An Option Below:* Pre-SN Clinic, full program (6/21-23) 1-Day Option 2-Day OptionPre-SN Clinic with IFCHiddenPlease Select an Option Below:* Full Winter Saber Clinic, Dec. 26-29, 2022 1-Day Option 2-Day Option 3-Day OptionWinter Saber ClinicHiddenPlease Select A Competitive Program Below: Competitive Summer Program, August 7-11, 2023 (YOB 2005-2014)Competitive Summer ProgramHiddenPlease Select the Elite Program Below: Elite Summer Program, August 21-25, 2023 (YOB 2011 & older)Elite Summer ProgramWAIVER 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 statementwaiverCONSENT 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 statementmedicalZETA FENCING COVID-19 COMPLIANCE BY USING OUR FACILITIES, YOU AGREE TO ABIDE BY ALL POSTED COVID-19 GUIDELINES. IF REQUIRED TO DO SO, MY FENCER WILL WEAR A FACE COVERING AT ALL TIMES WHILE ON ZETA PREMISES. Hiddencovid* I have read and agree with the above statementcovidZETA 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 statementconductZETA FENCING MEDIA POLICY ZETA FENCING OCCASIONALLY USES PHOTOS OF FENCERS TAKEN AT THE CLUB OR AT COMPETITIONS FOR PROMOTIONAL PURPOSES ON THE ZETA FENCING WEBSITE, FACEBOOK , INSTAGRAM , IN INFORMATION BROCHURES AND SIMILAR PUBLICATIONS. ZETA FENCING WILL NEVER SELL OR TRADE PHOTOS.Media Policy Permission* I give permission for my or 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 AN ACCESS MEMBERSHIP WITH USA FENCING.commitment beginner & intermediate & beginner adult* I have read and agree with the above statementcommitment beginner & intermediate & beginner adultCOMMITMENT POLICY I AGREE TO PAY THE FULL TUITION DUE, AND TO REGISTER FOR A NON-COMPETITIVE MEMBERSHIP WITH USA FENCING. REFUNDS: BEFORE JUNE 1, 2023: FULL REFUND AFTER $100 ADMINISTRATIVE FEE. AFTER JUNE 1, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 ADMINISTRATIVE FEE. AFTER JULY 1, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $200 ADMINISTRATIVE FEE.HiddenB/I Summer Program commitment* I have read and agree with the above statementB/I Summer Program commitmentCOMMITMENT POLICY I AGREE TO PAY THE FULL TUITION DUE, AND TO REGISTER FOR A COMPETITIVE MEMBERSHIP WITH USA FENCING. REFUNDS: BEFORE JUNE 1, 2023: FULL REFUND AFTER $100 ADMINISTRATIVE FEE. AFTER JUNE 1, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 ADMINISTRATIVE FEE. AFTER JULY 1, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $200 ADMINISTRATIVE FEE.Hiddencommitment* I have read and agree with the above statementcommitmentREFUND POLICY I AGREE TO PAY THE FULL TUITION DUE. THERE ARE NO REFUNDS FOR SINGLE DAY REGISTRATIONS. REFUNDS ONLY FOR FULL PROGRAM PAYMENTS: BEFORE JUNE 10, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 ADMINISTRATIVE FEE. AFTER JUNE 10, 2023: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $200 ADMINISTRATIVE FEE.Hiddencommitment* I have read and agree with the above statementcommitmentCOMMITMENT POLICY & CLUB MEMBERSHIP THIS IS A TEN (10) MONTH COMPETITIVE PROGRAM (FROM THE DATE OF ENROLLMENT UNTIL JUNE 30, 2024). 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 IS VALID FROM SEPTEMBER 1, 2023 UNTIL AUGUST 31, 2024. 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 youth, junior, elite* I have read and agree with the above statementcommitment youth, junior, eliteCOMMITMENT POLICY & CLUB MEMBERSHIP THIS IS A TEN (10) MONTH PROGRAM (FROM THE DATE OF ENROLLMENT UNTIL JUNE 30, 2024). 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 IS VALID FROM SEPTEMBER 1, 2023 UNTIL AUGUST 31, 2024. CLUB MEMBERSHIP FEES ARE NOT SUBJECT TO REIMBURSEMENT IN ANY CASE. ENROLLMENT IN THE PROGRAM REQUIRES A CURRENT CLUB MEMBERSHIP AND AT LEAST A NON-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 cadet* I have read and agree with the above statementcommitment cadetPAYMENT 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 1, 2023. 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 feesPROGRAM REQUIREMENTS REGULAR CLASS ATTENDANCE IS REQUIRED, INCLUDING OPEN BOUTING ON FRIDAYS. PLEASE INFORM COACHES ABOUT ALL NECESSARY ABSENCES IN A TIMELY MANNER. YOUTH COMPETITIVE AND JUNIOR CLASS STUDENTS MUST TAKE AT LEAST 1 (ONE) INDIVIDUAL LESSON PER WEEK. EACH LESSON LASTS 20 MINUTES, COSTS $50, ($60 HEAD COACH LESSON) 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; OPEN BOUTING ON FRIDAYS IS HIGHLY RECOMMENDED. 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 20 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 20 MINUTES, COSTS $50 (OR $60 HEAD COACH LESSON) 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 requirementsLOCKER & WIRELESS RENTAL AGREEMENT STUDENTS IN ALL CLASSES BEYOND INTERMEDIATE NEED TO HAVE A WIRELESS POCKET BOX FOR THE SEASON 2023/24. 1) Wireless boxes can be rented for the entire remaining season, i.e. from the starting date until June 30, 2024. The rental fee for the season is $200 or $20/month. Zeta Fencing will not issue refunds if a student switches from renting to purchasing a box. If paid monthly, the rental fee is due on the first of each month. 2) Zeta Fencing will charge for damages to the wireless box that clearly exceed normal wear and tear and occur during the rental period established in this agreement. The charges will be the equivalent to the cost of repair or replacement of the wireless box as necessary. 3) No stickers or any kind of markings are allowed on the rental wireless boxes. 6) This agreement expires on June 30, 2024. Wireless boxes must be returned on or before the final class day. Zeta Fencing has the right to terminate this agreement at any time if the wireless box is not kept in order or is not protected from damage by inappropriate use.locker & wireless box rental requirements* I would like to rent a wireless box N/A (I purchase/own a wireless box)locker & wireless box rental requirementsPlease Select Your Equipment Deposit Option:* $300 Equipment Deposit (fully refundable) Not applicableEquipment DepositPlease Select Your Wireless Box Fee Option:* $20 Monthly Wireless Box Rental Fee $275 Wireless Box Purchase $0 (already own wireless box)wireless box rental optionPlease Select Annual Club Membership Option* $400 Zeta Fencing Club Membership (2023/24 season) $200 Each Additional Family Member Zeta Fencing Club Membership (2023/24) Not applicable for Adult Beginneryouth, cadet, junior, elite, adult advancedChoose Your Preferred Payment Schedule* $350 per 7-week session $280 per 7-week session (second family member discount)Beginner, Intermediate, Adult Beginner$350 Club Member, Full 3-Day Program Fee Quantity Price: $350.00 Quantity $450 Non-Club Member, Full 3-Day Program Fee Quantity Price: $450.00 Quantity $280 Second Family Member, Full 3-Day Program Quantity Price: $280.00 Quantity $400 Non-Club Member, Second Family Member Full 3-Day Fee Quantity Price: $400.00 Quantity $130 June 21 Quantity Price: $130.00 Quantity $110 June 21 (Second Family member) Quantity Price: $110.00 Quantity $130 June 22 Quantity Price: $130.00 Quantity $110 June 22 (Second Family member) Quantity Price: $110.00 Quantity $130 June 23 Quantity Price: $130.00 Quantity $110 June 23 (Second Family member) Quantity Price: $110.00 Quantity $50 July 26 Class Quantity Price: $50.00 Quantity $45 July 26 (Second Family member) Quantity Price: $45.00 Quantity $50 July 28 Quantity Price: $50.00 Quantity $45 July 28 (Second Family member) Quantity Price: $45.00 Quantity $50 August 9 Class Quantity Price: $50.00 Quantity $45 August 9 (Second Family member) Quantity Price: $45.00 Quantity $50 August 11 Class Quantity Price: $50.00 Quantity $45 August 11 (Second Family member) Quantity Price: $45.00 Quantity HiddenPRE-SN CLINIC PAYMENT SCHEDULE Full program 1-day fee 2-day fee Full program second sibling 1-day fee second sibling 2-day fee second siblingMASTER CLASSHiddenLunch Program $555-day Lunch ProgramHiddenChoose Your Preferred Payment Schedule $500 (full program) $150 (1 day option) $300 (2 day option) $450 (3 day option) $400 (full program, second sibling) $120 (1 day option, second sibling) $240 (2 day option, second sibling) $360 (3 day option, second sibling)Winter Saber ClinicHiddenChoose Your Preferred Payment Schedule* $750 First Child Club Member Registration $800 First Child Non-Club Member Registration $600 Sibling Club Member Registration $650 Sibling Non-Club Member Registration $150 Club Member Single Day $175 Non-Club Member Single DayCompetitive & Elite summer programsHiddenChoose Your Preferred Payment Schedule* $550 First Child Registration $450 Sibling RegistrationBEG & INT summer programsChoose Your Preferred Payment Schedule* $330 due on the 1st of each month $265 discounted monthly payment for second sibling, due on the first of each monthYC & JuniorChoose Your Preferred Payment Schedule* $250 (1 group class, due on the 1st of each month) $200 (1 group class, discounted monthly payment for second family member, due on the 1st of each month) $330 (2 group classes, due on the 1st of each month) $265 (2 group classes, discounted monthly payment for second family member, due on the 1st of each month)cadetChoose Your Preferred Payment Schedule* $250 (4-class package) $200 discounted 4-class package for additional family members n/a for adult beginner classadult advancedChoose Your Preferred Payment Schedule* $440 due on the 1st of each month $350 discounted monthly payment for second sibling, due on the first of each monthelitePayment Option* PayPal Cash or Check Bank TransferPlease send your payment to: Zeta Fencing 200 Homer Ave. Ashland MA 01721Total $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 HEAD COACH'S APPROVAL.ADMISSION TO THE ELITE CLASS REQUIRES THE HEAD COACH'S APPROVAL.REGISTRATIONS 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 Product Name Quantity Price: $0.00 Quantity
