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's Name 1* First Last Parent Name 2 First Last Parent's Email* Date of student's most recent COVID vaccination or infection*Please list any medical conditions that we should be aware of (allergies, disabilities, etc.).Choose Your Program* Summer Programs Summer Classes Beginner Class Adult Classes Intermediate Class Youth Competitive Class Cadet Class Junior Class Elite ClassChoose Your Age Group* Youth 1 (YOB 2012-14) Youth 2 (YOB 2009-2011) Youth 3 (YOB 2006-2008) Adult (17+) (YOB 2005 or older)agesPlease Select A Class Time* MONDAY 4:30 - 6:00PM WEDNESDAY 4:30 - 6PM SATURDAY 11:00 - 12:30PMYouth 1 BeginnerPlease Select A Class Time SATURDAY 11:00 - 12:30PMAdult BeginnerPlease Select A Class Time WEDNESDAY 8:00 - 9:30PM | OPEN BOUTING Friday 6:00 - 9:00PMAdult AdvancedPlease Select A Class Time* SATURDAY 1 - 2:30PMYouth 2 BeginnerPlease Select A Class Time* THURSDAY 4:30 - 6PMYouth 3 BeginnerPlease Select A Class Time* MONDAY 6:30 - 8:00pmYouth 1 intermediatePlease Select A Class Time* WEDNESDAY 6:30 - 8:00PMYouth 2 IntermediatePlease Select A Class Time* TUESDAY 4:30 - 6:00PMYouth 3 IntermediateChoose A Session:* SESSION 1: Tuesday, September 6 - Monday, October 24, 2022 SESSION 2: Tuesday, October 25 - Monday, December 19, 2022 SESSION 3: Tuesday, January 3 - Monday, February 27, 2023 SESSION 4: Tuesday, February 28 - Monday, April 24, 2023 SESSION 5: Tuesday, April 25 – Monday, June 12, 2023Beginner & Intermediate & Adult Beginner SessionsPlease Select An Option Below:* GROUP CLASSES: Monday & Wednesday 5:00 – 6:30PM | OPEN BOUTING: Friday 6:00 – 9:00PMYCPlease Select An Option Below:* GROUP CLASS: Wednesday 8:00 – 9:30PM | OPEN BOUTING: Friday 6:00 – 9:00PMAdult AdvancedPlease Select An Option Below:* 1 GROUP CLASS: Tuesday 6:30 - 8:00PM | OPEN BOUTING: Friday 6:00 – 9:00PM 1 GROUP CLASS: Thursday 6:30 - 8:00PM | OPEN BOUTING: Friday 6:00 – 9:00PM 1 GROUP CLASS: Saturday 3:00 - 4:30PM | OPEN BOUTING: Friday 6:00 – 9:00PM 2 GROUP CLASSES: Tuesday & Thursday 6:30 - 8:00PM | OPEN BOUTING: Friday 6:00 – 9:00PM 2 GROUP CLASSES: Tuesday 6:30 - 8:00PM & Saturday 3:00 - 4:30PM| OPEN BOUTING: Friday 6:00 – 9:00PM 2 GROUP CLASSES: Thursday 6:30 - 8:00PM & Saturday 3:00 - 4:30PM| OPEN BOUTING: Friday 6:00 – 9:00PMCadetPlease Select An Option Below:* GROUP CLASSES: Tuesday & Thursday 5:00 – 6:30PM | OPEN BOUTING: Friday 6:00 – 9:00PMJuniorPlease Select A Class Time* GROUP CLASSES: Monday - Thursday 7:00 - 9:00PM | OPEN BOUTING: Friday 6:00 – 9:00PMElitePlease Select A Beginner Program Below: Beginner Summer Program, July 11-15, 2022 Beginner Summer Program, July 18-22, 2022 Beginner Summer Program, July 25-29, 2022 Beginner Summer Program, August 8-12, 2022Beginner Summer ProgramPlease 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:* February Vacation Program, February 21-25, 2022February Vacation ProgramHiddenPlease Select an Option Below:* Pre-SN Clinic, June 23- 24 & June 27-29, 2022 1-Day Option 2-Day Option 3-Day Option 4-Day OptionPre-SN ClinicHiddenPlease Select An Intermediate Program Below: Intermediate Summer Program, July 18-22, 2022 Intermediate Summer Program, July 25-29, 2022Intermediate Summer ProgramPlease Select A Competitive Program Below: Competitive Summer Program, August 1-5, 2022 (YOB 2010-2014) Competitive Summer Program, August 15-19, 2022 (YOB 2010 & older)Competitive Summer ProgramPlease Select the Elite Program Below: Elite Summer Program, August 22-26, 2022 (YOB 2009 & 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. covid* 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 PAGE, INSTAGRAM FEED, IN INFORMATION BROCHURES AND SIMILAR PUBLICATIONS. ZETA FENCING WILL NEVER SELL OR TRADE PHOTOS.Media Policy Permission* I give permission for 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.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, 2022: FULL REFUND AFTER $50 ADMINISTRATIVE FEE. AFTER JUNE 1, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 ADMINISTRATIVE FEE. AFTER JULY 1, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $200 ADMINISTRATIVE FEE.commitment* I have read and agree with the above statementcommitmentCOMMITMENT POLICY I AGREE TO PAY THE FULL TUITION DUE, AND TO REGISTER FOR A COMPETITIVE MEMBERSHIP WITH USA FENCING. REFUNDS: BEFORE JUNE 1, 2022: FULL REFUND AFTER $50 ADMINISTRATIVE FEE. AFTER JUNE 1, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 ADMINISTRATIVE FEE. AFTER JULY 1, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $200 ADMINISTRATIVE FEE.commitment* I have read and agree with the above statementcommitmentCOMMITMENT POLICY I AGREE TO PAY THE FULL TUITION DUE. REFUNDS: BEFORE JUNE 10, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $50 ADMINISTRATIVE FEE. AFTER JUNE 10, 2022: CREDIT TOWARD FUTURE ZETA PROGRAM AFTER $100 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, 2023). 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, 2022 UNTIL AUGUST 31, 2023. 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, 2023). 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, 2022 UNTIL AUGUST 31, 2023. 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 cadetCOMMITMENT 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 policy cadet* I have read and agree with the above statementpayment policy 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, 2022. 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, 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 OPEN 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 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 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 I agree to rent a locker and/or wireless box at Zeta Fencing for the season 2022-23 under the following conditions: 1) The rental fee for a locker and wireless box is $55/month or $500 if paid in full by September 1, 2022. Lockers and wireless boxes can only be rented for the entire remaining season, i.e. from the starting date until June 30, 2023. The rental fee for the season (number of months x $55) is paid together with this agreement. Zeta Fencing does not accept cancellations and will not issue refunds. The rental fee for only a locker is $40/month or $360 if paid in full by September 1, 2022. 2) Renters are responsible for bringing their own lock to secure the contents of their locker and the wirelessi box. Lockers must be locked at all times. Zeta Fencing is not responsible for items that are lost or stolen from the locker. Students may only store masks, gloves, shoes, cords, lames, sabres, and wireless boxes. 3) Zeta Fencing will charge for damages to the locker or 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 locker or wireless box as necessary. 4) Damages that are the renter’s responsibility and will be charged to their account include scratches, rust, and permanent discoloration caused by improper handling, as well as permanent smell caused by the storage of wet fencing uniforms, dirty equipment parts, perishable items (food, drinks) etc. 5) No stickers or any kind of markings are allowed on the lockers or wireless boxes. 6) This agreement expires on June 30, 2023. Lockers are to be left empty, cleaned, and open at the end of the rental period. Wireless boxes must be returned on June 30, 2023. Zeta Fencing has the right to terminate this agreement at any time if the locker or wireless box are not kept in order or are not protected from damage by inappropriate use.locker & wireless box rental requirements* I would like to rent a wireless box and locker I would like to rent a wireless box I would like to rent a locker N/A (I am purchasing a wireless box)locker & wireless box rental requirementsPlease Select Your Equipment Deposit Option:* $300 Equipment Deposit (fully refundable) Not applicableEquipment DepositRental Fee Option* $30 Equipment Rental Fee Not applicable (I own my equipment)Rental FeePlease Select Your Locker & Wireless Box Fee Option:* $20 Monthly Wireless Box Rental Fee $55 Monthly Locker & Wireless Box Rental Fee $500 Yearly Locker & Wireless Box Rental Fee $250 Wireless Box Purchaselocker & wireless box rental optionPlease Select Annual Club Membership Option* $400 Zeta Fencing Club Membership (2022/23 season) $200 Each Additional Family Member Zeta Fencing Club Membership (2022/23) I have already paid my 2022/23 annual Zeta Club membership Not applicable for Adult Beginneryouth, cadet, junior, elite, adult advancedChoose Your Preferred Payment Schedule* $300 per 7-week session $240 per 7-week session (second family member discount)Beginner, Intermediate, Adult Beginner$350 (Full 8 Class Package) Price: $350.00 Quantity: $315 (Second Family Member 8 Class Program) Price: $315.00 Quantity: $50 July 12 Class Price: $50.00 Quantity: $45 July 12 (Second Family member) Price: $45.00 Quantity: $50 July 14 Class Price: $50.00 Quantity: $45 July 14 (Second Family member) Price: $45.00 Quantity: $50 July 19 Class Price: $50.00 Quantity: $45 July 19 (Second Family member) Price: $45.00 Quantity: $50 July 21 Class Price: $50.00 Quantity: $45 July 21 (Second Family member) Price: $45.00 Quantity: $50 July 26 Class Price: $50.00 Quantity: $45 July 26 (Second Family member) Price: $45.00 Quantity: $50 July 28 Price: $50.00 Quantity: $45 July 28 (Second Family member) Price: $45.00 Quantity: $50 August 9 Class Price: $50.00 Quantity: $45 August 9 (Second Family member) Price: $45.00 Quantity: $50 August 11 Class Price: $50.00 Quantity: $45 August 11 (Second Family member) Price: $45.00 Quantity: FEBRUARY VACATION PAYMENT SCHEDULE* $500 $375 (for second sibling)February Vacation ProgramLunch Program $55Lunch ProgramHiddenChoose Your Preferred Payment Schedule* $500 (full program) $120 (1 day option) $240 (2 day option) $360 (3 day option) $480 (4 day option) $430 (full program, second sibling) $100 (1 day option, second sibling) $200 (2 day option, second sibling) $300 (3 day option, second sibling) $400 (4 day option, second sibling)Pre-SN ClinicChoose Your Preferred Payment Schedule* $700 First Child Club Member Registration $750 First Child Non-Club Member Registration $560 Sibling Club Member Registration $600 Sibling Non-Club Member Registration $150 Club Member Single Day $175 Non-Club Member Single DayCompetitive & Elite summer programsChoose Your Preferred Payment Schedule* $500 First Child Registration $400 Sibling RegistrationBEG & INT summer programsChoose Your Preferred Payment Schedule* $300 due on the 1st of each month $240 discounted monthly payment for second sibling, due on the first of each monthYC & JuniorChoose Your Preferred Payment Schedule* $230 (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) $300 (2 group classes, due on the 1st of each month) $240 (2 group classes, discounted monthly payment for second family member, due on the 1st of each month)cadetChoose Your Preferred Payment Schedule* $230 due on the 1st of each month $200 discounted monthly payment for second family member, due on the 1st of each monthadult advancedChoose Your Preferred Payment Schedule* $400 due on the 1st of each month $320 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 Price: $0.00 Quantity:
