The Polytechnic Fencing Club
Established 1883

Please print and post to

The Polytechnic Fencing Club c/o Rob Arney
16 Oakapple Court
Lee
London SE12 0UB


MEMBER APPLICANT DETAILS

   
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PLEASE INFORM US OF ANY INJURIES OR MEDICAL CONDITIONS THAT MIGHT HAVE AN EFFECT YOUR PARTICIPATION IN THIS SPORT.





IN CASE OF EMERGENCY
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MEMBERSHIP CATEGORY:
 
Senior

 £... (Annual) [...] £... (Term) [...]
F/T Student(NUS card)

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BFA insurance required

 (£..) [...]
BFA insurance not required
(Please provide BFA no:)		 [………………………..]

I hereby agreed to comply with Poly Fencing club rules.

Signed: ……………….. …………………. Date: …………………….. ………….

PLEASE NOTE
It is up to the individual to ensure that they are using the correct equipment for fencing. All equipment must conform to the latest BFA club standards / rules.