Name _________________________________

Phone (_____)___________________

Address ___________________________

City ___________________ State _____ Zip ______

Club ______________________________

Email  * ________________________

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

Saber _______

Épée _______

Foil _______

Show events you are entering (Yes):

U-17 Women’s Épée

__________

U-17 Women’s Foil

__________

U-17 Women’s Saber

__________

U-20 Women’s Épée

__________

U-20 Women’s Foil

__________

U-20 Women’s Saber

__________

U-17 Men’s Épée

__________

U-17 Men’s Foil

__________

U-17 Men’s Saber

__________

U-20 Men’s Épée

__________

U-20 Men’s Foil

__________

U-20 Men’s Saber

__________

Registration first event   $15

$_________

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

Additional events @ $10 each

$_________

Amount due at venue

$_________