2003 La High School Championships

Participants must be a member of the USFA. All USFA rules apply.

Participants must sign a Waiver of Liability; forms will be available at the venue.

Fencers under the age of 18 MUST have parent or guardian signature on forms to participate.

Please provide the following contact information:

Name

Division

School /Grade

Club

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Home Phone

E-mail

Date of Birth MMDD19YY

Classification & Year: Example "D99" F E S

Events Entering MF ME MS WF WE WS

    Registration Fee (Includes first event)                   $10.00

T shirt not available...

   Additional Fees Add $5 for each additional event   $

   Total due on arrival at venue                            $

By submitting this form you are agreeing to submit payment if you fail to notify the secretary of the division before the event that you will be unable to attend.

Make Checks Payable to: Ark-La-Miss Division
Questions???? email Terry Harkey or call 1-318-686-8558

Name
Division
School /Grade
Club
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Home Phone
E-mail
Date of Birth	MMDD19YY
Classification	& Year: Example "D99" F E S
Events Entering	MF ME MS WF WE WS

Registration Fee (Includes first event) $10.00
T shirt not available...
Additional Fees Add $5 for each additional event $
Total due on arrival at venue $

Last revised: September 29, 2002