Entry_Surrey_Nov

Entry Form for Surrey Novices or Intermediates. If you are writing on a paper print then please write clearly.

1. First Name*

…………………………………

2. Surname*

3. Male / Female (select as applicable)*

(events will be mixed unless enough ladies enter).

4. Select one event to enter.

First event:

5. If you chose you may enter a second event

on this same form but please note that schedule

logistics might not allow all combinations.

There may be flexibility on the day but your

preference here will help us plan.

2nd entry fee is £5.

If we don't allow your preference then the fee

will be refunded.

6. Club?*

if "Other please state club:

7. 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.

8. Postal address (optional if you give an email and phone number. We cannot guarentee data security).

Address line 1:

Address line 2:

Address line 3:

Postcode:

9. Phone 1*

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

11. BFA Membership Number:*

Expires:*

If in post/progress then state so in box.

12. Year of birth (only if you are under U18)

(Must be 13 or over on 1st Jan in season of event)

13. 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

14. Competitors must ensure that all kit is of a safe and serviceable nature, and that BFA safety guidelines are met.

15. 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 ............................................

16. Payment: Cheque for £12 for 1st event in advance or £20 paid on the day. 2nd event £5. Payable “S.C.F.U.”

Before pressing "submit" please print this page (May need page setup -> A4) then post with cheque to:

Tim Schofield, 3 Oak Tree Close, Guildford, Surrey, GU4 7JQ.

Thank you for your entry to this competition. 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