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2007 SASF Summer Fencing Camp Registration Form
$120.00 Per 3 day Camp
$50.00 Per 1 day Camp
Please print this form, complete and mail along
with a $75.00 non-refundable
deposit for each session selected.
Mail to:
C/O Silvia Williams
San Antonio Sports Foundation
PO Box 830386
San Antonio , TX 78283-0386
Make checks payable to:
San Antonio Sports Foundation
Sessions run from 9 am to 1 pm each day.
Please Check Sessions You Would Like to Attend:
| Session # |
Date |
Description |
Specialty |
Ages |
| __ Session 1 |
July 18-20 |
3-day YOUTH camp |
SABRE |
9-13 yrs. |
| __ Session 2 |
August 1-3 |
3-day YOUTH camp |
FOIL |
9-13 yrs. |
| __ Session 3 |
August 15-17 |
3-day YOUTH camp |
FOIL |
9-13 yrs. |
Student’s First Name:____________________________
Last Name:_____________________________
Age:__________ Sex:_______ Years Fencing:__________
Parents Name:____________________ E-mail:____________________
Address: __________________________________________
City:_______________________ State:______ Zip Code:______________
Home Phone: (____)__________ Cell Phone: (____)__________
Work Phone:(____)__________
Emergency Contact:______________________________ Phone:
(____)___________
CONSENT OF MEDICAL TREATMENT
This is to certify that I ______________________________as
a parent or legal guardian of ____________________________________give
my consent to the San Antonio Sports Foundation and its
representatives to obtain medical care from any licensed
physician, hospital, or clinic for the above mentioned
athlete for any injury or illness that could arise during
activities associated with the San Antonio Sports Foundation’s
Dreams for Youth program.
WAIVER OF LIABILITY
THE FOLLOWING MUST BE SIGNED BY PARENT OR LEAGAL
GUARDIAN
I enter my child into the Dreams for Youth Program
(the “Program”) at my own risk and,
in consideration for my child being allowed to participate
in the Program, do herby release, on behalf of myself,
my child and hi/her heirs, the San Antonio Sports
Foundation and its officers, directors, sponsors,
officials, coaches, volunteer, staff and organizers
(the “Released Individuals and Entities”)
from any liability whatsoever for any injury or
damage to my child or me resulting from Negligence
or other acts of the Released individuals or Entities,
including, without limitation, on the sole contributory
negligent acts of the Released Individuals or Entities.
_____________________________________
_____________________________
Signature of Parent or Legal Guardian Date Print
Name Date
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