Island Fencing Academy
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To hold a student's place in class, please fill out this form and mail with a check made payable to Island Fencing Academy. (mail to: IFA , 101-32 Dupont Street, Plainview, NY  11803)

INTRO CLASS REGISTRATION FORM

Student Name ________________________________

Date of Birth:

Parent / Guardian Name (please print):

_____________________________________________

Address _____________________________________

Town/ZIP_____________________________________

Phone _______________________________________

Email _______________________________________

Month: ________________ (please refer to our schedule)

Day: __________________ Time: _________________

Fee: $100 (4 classes) Additional Family Member: 15% off

PLEASE NOTE:
- This is a one-time four week session.
- There is no other fee.
- Checks are made payable to Island Fencing Academy.
- Minimum enrollment is 6 participants.
- Maximum enrollment is 12 participants.
- Students are required to wear long pants and sneakers.
- IFA provides the fencing equipment.
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