2021 Youth Development Program Registration FormRegister below for the 2021 Youth Development Program. The program fee is $150. Visa and Mastercard are accepted for payment. If you have questions, please contact Darren Marks at headcoach@stratfordfencingclub.ca. Name* First Name Last Name Email* Email Confirm email Phone*Address* Street Addeess Suite or Unit City ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Gender*PLEASE SELECT...MaleFemaleDate of Birth*Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Primary Weapon*PLEASE SELECT...FoilEpeeSabreCFF License* Coach* Club*PLEASE SELECT...AAFAJFAXFBFCBFSBRFBSCCARCCSCFACMFCUTDFADNFROYEXOHBFHHFKANKINLIFLONLOYMACMCFMETMISMKOMSCMYFNEWNIANYFOCFOTTPFCQFCRARICRMCRGFRICRYESARSFMSFOSWPTFCTNTTREUNAUTOUWOVGOWFCXELYRKPrimary Language*PLEASE SELECT...EnglishFrenchMandarinOtherPlease enter your other language* Training/Competition Experience* You are purchasing the following:2021 Youth Development Program Price: Total $ 0.00 CAD Please enter your payment information:Credit Card*Enter your card details above Enter the cardholder's name above Please click the submit button only ONCE. Processing may take up to 30 seconds after submitting.NameThis field is for validation purposes and should be left unchanged.