Clinic Application Form

Name of Fencing/Host Organization (i.e. club or school):(Required)

Clinic's Street Address

Clinic's City

Clinic's State

Clinic's ZIP code

Organizer Name

Organizer Email Address:

Organizer USFCA ID

Organizer Phone

Clinic Name(Required)

Clinic Description(Required)

Clinic Image [*.jpeg – landscape format](Required)

Max. file size: 256 MB.

Syllabus (.pdf only please)(Required)

Accepted file types: pdf, Max. file size: 256 MB.

Start Date:(Required)

End Date:(Required)

How many hours of instruction:(Required)

This will be used to grant continuing education.

USA Fencing Division:

Clinic cost USFCA member(Required)

only the number (not $ signs)

Clinic cost USFCA non-member (automatically calculated):

Non-members get charged 25% extra (with a minimum of $10 fee)

Student fee (non-coach)

only the number (not $ signs)

Registration information (how do people sign up for the clinic):

CAPTCHA

Clinic proposal