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| (Print name exactly as it appears on USFA card) |
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| EVENT | Cadet Nat'l Qual March 18 FAP |
Cadet Nat'l Qual March 19 FAP |
Div 2/3 Nat'l Qual April 1 TEMPLE |
Div 2/3 Nat'l Qual April 2 TEMPLE |
Youth 14 Nat'l Qual April 8 BCAF |
Youth 14 Nat'l Qual April 9 BCAF |
|---|---|---|---|---|---|---|
| Entry Deadline | February 18 | March 4 | March 11 | |||
| M Foil | -------- | -------- | -------- | |||
| M Epee | -------- | -------- | -------- | |||
| M Sabre | -------- | -------- | -------- | |||
| W Foil | -------- | -------- | -------- | |||
| W Epee | -------- | -------- | -------- | |||
| W Sabre | -------- | -------- | -------- | |||
| Event Total = # of events x $25 |
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| Registration Fee (non-refundable) |
$ 10 | $ 10 | $ 10 | $ 10 | $ 10 | $ 10 |
| Total Event fees + Registration |
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Total enclosed: $___________________
Instructions: The event fee is $25 per
weapon fenced, the registration fee is $10 per day. The event
fee will be refunded for withdrawals up to 7 (seven) days before the
competition date. The registration fee is non-refundable. The
late entry fees are double normal registration and event fees.
The form must be received with payment by the entry deadline.
For entries received after the deadline, late fees will be
charged at the site.
Please make check or money orders payable to:
Philadelphia Division - USFA.
Mail the completed form and payment to:
AUTOMATICS: Please put an "A" in the event box and only send in the
$10 registration fee.
Philadelphia Division - USFA
220 Victoria Court
Doylestown, PA 18901