Entry Form for Surrey Epee (Individual) Championships.  
If you are writing on a paper print then please write clearly.

1. First Name*  

2. Surname*

3. Male / Female (select button)*
This form last updated: 3 December, 2017
Don't forget to press "Submit" after printing this page
13. Payment and where to send entry: Please press the submit button below to enter your data and to see details of how to pay.
The payment will be £15/event, plus any payment bank charges/fees.

If you are under 18 the please print, get parent signature and bring it with you.  After printing out a paper copy to post then please press "SUBMIT" below. This information will not be automatically collected unless you press submit. If in doubt try again (so long as the name is the same we will cope!).
If you have any message / notes / comments for the organiser then enter them here.

Thank you for your entry to this competition. 
11. Competitors must ensure that all kit is of a safe and serviceable nature, and that BFA safety guidelines are met.

12. Signature (if U18 then signature of parent /guardian to be added to printed copy to accompany cheque)
I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the competition.  


Signed .....................………………………...........................…… Date ............................................
9. Year of birth (only required if you are U18)
                    (Must be 13 or over on 1st Jan in season of event)

10. Seeding Information. Please state your previous best results. List best results first. If this is your first competition then please state for how long you have been fencing. State any cadet / junior / senior national ranking.
State Year, Event & weapon, Position/Rank
6. Phone 1*

7. Phone 2 (on the day emergency number)*

8. BFA Membership Number:*                                         Expires:* If in post/progress then state so in box:
4. Club?*

  if "Other please state club:

5. Email: (please cut / paste from known working address to avoid errors):*
if you do not have an email or chose not to enter one then please type "none". Email policy available on request. 
MaleFemale