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Fencing Membership Form

Please fill in the form below with your details.  Fields marked with an * are required.

Membership Type*

First Name*

Last Name*

Daytime Number

Mobile Number*

Email Address*   Join our mailing list?

Postal Address

Date of Birth (optional)

Pre-existing Medical Contiditons/Injuries?

Emergency Next Of Kin Contact

Contact Name

Contact Number

Relationship to you

Human Verification

What is 7 + 2?*

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