Nomination Form - International Events
This Form must be completed if you would like to nominate to be selected by Fencing NZ to fence in international events.

COMMITMENT TO FENCE

By nominating yourself for the events below you undertake to fence in the event, if selected.

Deposit

A Nomination Fee of One Hundred and Fifty dollars ($150.00) is payable to Fencing New Zealand in support of your nomination. This fee is payable for each tournament that you nominate for (only one fee of $150 even if nominating for more than one age group within the tournament). 

You acknowledge that the deposit may be used by Fencing New Zealand to defray some of the costs associated with your participation, including an administration fee of $50 and a team participation fee of $50 payable to Fencing NZ if selected for any Team Event. In the event that you are selected and do not participate for any reason, the deposit will not be refunded. If your nomination is unsuccessful, your Nomination fee will be refunded.

 You understand that there may be additional costs payable by fencers to cover costs of coaching and officials at the international tournament and you (or your parents/ legal guardian if under 18 years old) undertake to pay these to Fencing New Zealand on request.

 In the event that you are selected you will provide any additional information requested, and complete and sign the Code of Conduct.

 

If under 18 years of age, this form must also be signed by a parent or legal guardian. You must also have the permission of your Coach to Nominate to an international event.

Fencing NZ Bank Account : 06-0565-0074568-00    [Reference - please include Fencers Name]

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Email *
Name (as appears on Passport) *
Email Address for communication (please use your parent's email address if you are under 18 years old or you do not use your email regularly)

Mobile phone number for communication
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Membership number of Fencing NZ
Coach name (Please confirm that you have discussed this nomination with your Coach)
Are you a New Zealand Citizen?
Clear selection
My address
International Event (payment of one Nomination fee covers multi age groups)
Weapon
Age Group (can select more than one)
Team Event (please indicate whether you would be available for a Team Event)
Clear selection
Acknowledgement of parent - please confirm that a parent is aware and agrees to the terms and conditions of your nomination if you are under 18 years old
Clear selection
Please give your five best results for the Selectors to consider
A copy of your responses will be emailed to the address you provided.
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