FENCINGCAMPS

F I E L D S S P O R T S C O M P L E X * 8 C O R N W A L L C O U R T , E A S T B R U N S W I C K , N J 0 8 8 1 6

AIRCONDITIONED FACILITY. FENCING SALLE, SOCCER FIELD & BASKETBALL COURT. SPECIAL FEN-CING THEMES FOR EACH CAMP. CONDITIONING, ADVANCED FOOT- AND BLADEWORK, FENCINGDRILLS, BOUTING WITH TACTICAL AND STRATEGIC GOALS, TARGET DRILLS, VIDEO ANALYSIS, RE-FEREE & ARMORY CLINICS, STRATEGIC GAMES, TOURNAMENTS, WATER ACTIVITIES, TRIP TOCRYSTAL SPRINGS WATER PARK, PIZZA, ICE-CREAM AND MORE!

ESCRIMEUR tel. 732.309.8302

JULY 13 - JULY 17AUG 17 - AUG 21AUG. 24 - AUG. 28

CAMP PRICES: *$425 / WEEK - before 7/1/15$450 / WEEK - after 7/1/15* plus $10 USFA membership

Airconditioned facilitymicrowave, refrigeratorfree wi-fi, snack bar

MASTERING MAIN TECHNIQUES

ADVANCED TACTICS AND STRATEGY

FENCING - A GAME OF MIND & ATHLETICS

CAMPS@ESCR IMEUR .COMwww . E S C R I M E UR . C OM

SUMMER2015

F E N C I N G C L U B

CAMP HOURS 9 am - 4 pmEXTENDED CARE AVAILABLE*

CAMP HOURS: 9 AM - 4 PM EXTENDED CARE AVAILABLE ** EXTENDED CARE ($10 / HOUR)EARLY CARE 8-9 AM AFTERCARE 4-6 PM

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HOW DID YOU HEAR ABOUT ESCRIMEUR CAMP? . . . . . . . . . . . . . . . . .

CAMPERLAST NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FIRST NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GENDER (CIRCLE) M FDATE OF BIRTH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EMAIL ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CITY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZIP . . . . . . . . .MOBILE PHONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HOME PHONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GLASSES (CIRCLE) YES NOMEDICAL CONDITION(S) WHICH CAMP STAFF NEEDS TO BE AWARE OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NEW TO FENCING? (CIRCLE) YES NOSKILL LEVEL (CIRCLE) BEGIN. INTERM. ADVAN.CLUB AFFILIATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . WEAPON (CIRCLE) SABRE FOIL EPEE

CAMP WEEK(S)(CIRCLE SELECTIONS)JULY 13 - 17 MASTERING MAIN TECHNIQUESAUG 17-21 ADVANCED TACTICS AND STRATEGYAUG 24-28 FENCING - A GAME OF MIND AND ATHLETICS

OPTIONS (IF NOT A FULL WEEK) DAYS SELECTED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EARLY DROP-OFF ON (DAYS, HOURS) . . . . . . . . . . . . . . . . . . . . . . . . . LATE PICK-UP ON (DAYS, HOURS) . . . . . . . . . . . . . . . . . . . . . . . . .

PARENT/GUARDIANLAST NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FIRST NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RELATION TO FENCER . . . . . . . . . . . . . . . . . . . . . . . . . EMERGENCY PHONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . EMAIL ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WAIVER OF LIABILITY(PARENT/GUARDIAN MUST SIGN FOR MINOR)I . . . . . . . . . . . . . . . . . . . . . . . . . . . DO HEREBY RELEASE ESCRIMEUR, LLC AND ITS STAFF AND SPON-SORS, THE FIELDS SPORTS COMPLEX AND ITS STAFF AND SPONSORS, FROM ANY LIABILITY RESULTING FROM IN-JURY, ACCIDENTS, ILLNESS, DEATH OR OTHER MISHAP THAT OCCURS WHILE PARTICIPATING IN ESCRIMEURSUMMER FENCING CAMP(S). I CERTIFY THAT THE CAMPER IS IN PROPER PHYSICAL AND MENTAL CONDITION TOPARTICIPATE IN ALL CAMP(S) ACTIVITIES. FURTHER, I HEREBY GRANT PERMISSION TO THE STAFF TO AUTHORIZEANY MEDICAL/SURGICAL TREATMENT THAT IS DEEMED NECESSARY. I UNDERSTAND THAT ALL POSSIBLE EFFORTWILL BE MADE TO INFORM ME IN CASE OF SUCH TREATMENT. I HEREBY ACKNOWLEDGE THAT THE CAMPER BECOMES BOUND BY ESCRIMEUR POLICIES AND RULES,AND ESCRIMEUR CODE OF THE SWORD:SIGNATURE . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . . . . . . . . . . . . . . . . . .

MEDIA RELEASEDURING VARIOUS ESCRIMEUR CAMP ACTIVITIES CAMPERS MAY BE PHOTOGRAPHED AND VIDEOTAPED. THE PIC-TURES AND VIDEO FOOTAGE MAY BE USED ON ESCRIMEUR WEBSITE AND/OR IN VARIOUS ESCRIMEUR PROMO-TIONAL MATERIALS. PLEASE INDICATE IF IT IS ACCEPTABLE FOR THE CAMPER’S PHOTOGRAPHS AND/OR VIDEOFOOTAGE TO BE USED IN ESCRIMEUR ELECTRONIC AND PRINTED MEDIA (CIRCLE ONE): YES NOCAMP FEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. FAMILY DISCOUNT * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . ADDITIONAL WEEK(S) DISCOUNT ** . . . . . . . . . . . . . . . . .TOTAL DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . DEPOSIT PAID*** . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BALANCE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

* $10OFF EACH ADD’L CHILD ** $10 FOR EACH ADD’L WEEK. ONLY ONE DISCOUNT CAN BE APPLIED*** BALANCE IS DUE BY THE 1ST DAY OF CAMP.

PLEASE INCLUDE PAYMENT WITHYOUR APPLICATIION AND MAIL IT TO:ESCRIMEUR FENCING CLUB406 MCDOWELL DRIVEEAST BRUNSWICK, NJ 08816* DEPOSIT IS NON-REFUNDABLE