Cavalier School of Fencing – Membership Registrations

Member Registration

First Name*
Last Name*
Email*	Your preferred contact email. This will be used for creation of your Member Hub account.
Confirm Email*	Confirm your preferred Member Hub and contact email address.
Phone	Your primary contact phone number.
Date of Birth*	Your date of birth, entered in the form DD/MM/YYYY or selected from the Date Picker.
Gender	Preferred gender identity.
Photo Consent*	Photo Consent Yes No I give permission for ECU Cavalier School of Fencing to use photos (in accordance with our privacy policy) of me or, as parent or guardian, my child.
Mailing List	Mailing List Yes No I would like to receive our newsletter and occasional announcements via email.
School	If relevant, please include the primary or secondary school the fencer attends.
Emergency Contact Name*	Please provide the name of your emergency contact.
Emergency Contact Number*	The best contact phone number for the specified emergency contact.
Emergency Contact Relationship*	Emergency Contact Relationship Parent Guardian Partner Spouse Family member Friend Please indicate your relationship to the emergency contact.
Medical Conditions	Please list any medical conditions that may be relevant in the event of an incident or emergency.
Medications	Please list any medications you take that may be relevant in the event of an incident or emergency.
ECU Affiliation*	ECU Affiliation Yes No Are you a student, alumnus or staff member of ECU?
reCAPTCHA*

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