HIGHLANDERS CAMPUS REGISTRATION FORM

AUGUST 2021

Fencer ............................................................................................................................................................................... 

Born in ....................................................................................Birth date ...................................................................

Country ...............................................City ............................................................Postal code .............................. 

Address .................................................................................................................................................N° .................... 

Mobile telephone number ..................................................................................................................................... 

e-mail ...............................................................................................................................................................................

Presence days

(  ) 7 days

(  ) 3 days 21 - 22 - 23 - 24 - 25 - 26 - 27 - 28 (tick the days you're interested in)

(  ) 1 day 21 - 22 - 23 - 24 - 25 - 26 - 27 - 28 (tick the days you're interested in)

A copy of medical certificate is here attached...