Name _________________________________

Phone (_____)___________________

Address ___________________________

City ___________________ State _____ Zip ______

Club ______________________________

Email  * ________________________

Please indicate Classification(s) (eg, U, E02, etc.) for weapons you are entering:

Épée _______

Foil _______

Show events you are entering (Yes):

Mixed Épée

__________

Women’s Épée

__________

Mixed Foil

__________

Women’s Foil

__________

Registration first event   $15

$_________

(high school and under:  $10)

(Add $10 if not pre-registered before the tournament)

Additional events @ $10 each

$_________

Amount due at venue

$_________