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

1. First Name*  …………………………………

2. Surname*
This form last updated: 28 November, 2017
Don't forget to press "Proceed to payment..." after printing this page
Please only use this direct link to the payment page if you have previously submitted your entry data.
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: If intending to post a cheque then please print this page before you click "Proceed to payment" below.
The next page will give information about how to pay your fee (£15 for first event, £5 per extra, plus any payment fees).

Your information will not be automatically collected unless you press "Proceed to Payment..." below.    If in doubt try again (so long as the name is the same we will cope!).
13. If you have any message / notes / comments for the organiser then enter them here
12. 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
10. BFA Membership Number:*     Expires:* If in post/progress then state so in box.

11. Year of birth (only if you are U18)
(Must be 13 or over on 1st Jan in season of event)
8. Phone 1*

9. Phone 2* (on the day emergency number)*
7. 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:
5. Club?*

       if "Other please state club:
 
6. 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". 
4. Male / Female (select button)*
3. Event(s) entered: 
Novice foil
Intermediate foil
No foil
Novice epee
Intermediate epee
Novice sabre
Intermediate sabre
Neither epee nor sabre
MaleFemale