Surrey_Youth

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

1. First Name*

…………………………………

2. Surname*

3. Male / Female (select as applicable)*

4. You may enter 1, 2 or 3 weapons but if you are still fencing in one when your next is ready to start then we may cancel & refund your entry.

Enter Foil?*

Enter Epee?*

Enter Sabre?*

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". Email policy available on request.

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:

8. Phone 1*

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

10. BFA Membership Number:*

Expires:*

If in post/progress then state so in box.

11. Year of birth*

U18=born in 1990 or 91. U16=born in 1992 or 93; U14=born in 1994 or 95;

U12=born in 1996 or 97 or 98 only except foil where U12F=1996/97 and U10F=1998/99/00 only.

12. Age group entered is therefore:*

(organisers will resolve multiweapon 1998s)

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. Signature of parent /guardian to be added to printed copy to accompany cheque……………………….....................……

(if parent/guardian will not be staying with the fencer then please assign a responsible adult).

15. Payment: Cheque for £7.00/event (in advance or £10 on the day), payable “S.C.F.U.”

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

Jon Milner, 43 Circle Gardens, Merton Park, London SW19 3JX.

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