Request edit access
LFC WR Details Form
This information is strictly confidential and will be kept on file and only used in the event of an accident or suitable reason that direct contact must be made. Completing this form acts in place of a physical form and is your consent to us keeping your details digitally.
Sign in to Google to save your progress. Learn more
Full Name *
Date of Birth *
Address
Postcode
Phone Number
Email address *
This will be used to keep you up to date on the record attempt etc.
Emergency Contact Number *
Their Name & Relationship *
Please state any current or past illness, injuries or allergies (food or medical)
Please state and medication currently being taken
Affiliated Fencing Club
British Fencing Number & expiry date (or national equivalent) *
You must be National Governing Body registered in order to participate in the competition.
Weapons in which qualified to fence *
You must have been awarded a minimum of Grade 1 (or equivalent) in order to participate, if you have no formal grades we ask for a minimum of 3 months fencing practice.
Required
Preferred competition weapon
We aim to have everyone compete their first choice weapon, however due to demand this may not be possible.
Clear selection
Are there any times you are unavailable to fence?
Whilst we cannot guarantee to match a time you would like we will do our best to schedule you at a time in which you can attend. Please note you will likely be required at the venue for 2-3 hours.
Photography Consent *
Please note that if you choose no we will not be able to include you in this event as we must provide photographic evidence of all participants to Guinness. If you have any concerns please contact us directly.
Do you wish to be added to our club mailing list?
Clear selection
Digital Signature (parent/guardian if member under 18) *
By signing the above form the participant (or their guardian) confirms they have read the attached terms of competition and that all under 16s will be accompanied whilst at the venue. This also commits you to the event as either fencer or support/official.
Parent / Guardian's name if signing above on behalf of named fencer.
Date
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms