NIH R&W FENCING CLUB

Sponsored by the NIH Recreation and Welfare Association

MEMBERSHIP APPLICATION

All persons participating in the NIH R&W Fencing Club or in classes organized by the Club are required to own or rent equipment and to join the NIH R&W FC for either the duration of the class ($18 per month, for a minimum of two months) or for a calendar year ($216; $130 if paid during January). Annual dues include R&W membership. Dues will be prorated (at $18 per month) if membership begins during a calendar year.

I,____________________________________________(or parent for the participant if under 18), of

Address___________________________________________________

Phone:____________________________________________________

E-mail____________________________________________________

am applying to join the NIH R&W FC for the period of __________.

I am also renting equipment for six weeks for $55 plus a fully refundable $125 security deposit.

I have or will purchase my own equipment.

________________________________________ _________________

Signature Date