St Etheldreda's Church Hall
Cloncurry Street
Fulham Palace Road
London
SW6
Mondays, 7.00 pm to 9.30 pm
http://www.cdafencingclub.co.uk

Commencing Monday 14th January for 10 weeks

Adult Beginners' Course Application Form 2008


Please complete both pages of this form
and submit it with your payment of £95 to:
 


20 Garden Close
Wallington
Surrey
SM6 8LW

Applications will be accepted in strict order of receipt of the form with payment.
Cheques should be made payable to Club des Artistes

Title

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Forename

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Surname

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Address

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Post Code

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Phone (day time)

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Phone (evening)

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E-mail

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How did you hear about us ?

:

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Please supply the following information about yourself to help us in providing suitable equipment (delete where applicable) :

Gender

:

male / female

Hand

:

left-handed / right handed

Jacket Size

:

small / medium / large / extra large


Terms & Conditions

  1. Temporary membership of CdA will be conferred on those enrolled on any course organised by or on its behalf.
  2. Neither CdA, its coaches, instructors nor members shall, in any circumstances whatsoever, be under any liability to the applicant for any loss, damage or injury (including death), whether accidental or otherwise, arising during, or resulting from participation in fencing activities within the Club premises or on the Club's behalf.
  3. If you are unable to attend the course in which you are enrolled then, provided notifcation is recieved at the above address 7 clear days before the date of the first session, we will make a full refund of any fees paid. NO refunds will be made once the course has started.

Data Protection

Personal details of applicants may be kept on computer but will not be disclosed to any third party.

Declaration / Consent

I have read and understood the above information and agree to abide by the Terms and Conditions as stated.

Signature ……………………………………. Date …………………..