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ENGLAND SQUASH SOUTH EAST

AREA CLOSED CHAMPIONSHIPS 2006

 

7th - 8th October 2006

 

ENTRY FORM

 

 

Venue:

Bluecoat Sports Centre

Christs Hospital

Horsham

West Sussex

RH13 0YB

 

Tel:01403 247618

 

Please note: Depending on the number of entries, it may be necessary to run the tournament at two venues. The venue for your event will be posted on www.englandsquash.com along with the registration times for each age group preceding the tournament.

 

Please complete in BLOCK CAPITALS :

BOYS

 

GIRLS

I wish to enter : (Please tick)

 

Under 17

 

 

 

 

 

Under 15

 

 

 

 

 

Under 13

 

 

 

 

 

FULL NAME :

 

 

ADDRESS

 

 

 

 

 

                        POSTCODE :

E-MAIL

 

MOBILE

 

 

TEL NO

Home

 

Parents Daytime

 

 

FAX NO

Home

 

Parents Daytime

 

 

 

AGE ON 08/10/06

 

DATE OF BIRTH

 

 

PLACE OF BIRTH

 

SCHOOL

 

 

CLUBS

 

 

COUNTY ELIGIBILITY

 

COUNTY RANKING

 

 

NATIONAL RANKING

 

 

ES GRADE (Please circle)

C1         C2         D1         D2         E1         E2         F1         F2  

 

T SHIRT SIZE REQUIRED (Please circle)

Small                   Medium                 Large                    X Large

 

ENGLAND SQUASH MEMBERSHIP NO.

Your England Squash membership number is mandatory. If you are unsure of your number, please contact Lewis Baker on 0161 438 4317. Your entry will be invalid if a number is not inserted.

 

 

CLOSING DATE

 

All entries must be received no later than 12.00 pm on Wednesday 27th September 2006

 

Please Turn Over

 

 

 

 

Important Notes – Please Read

 

·         The finalists of each County Closed are guaranteed a place in the Area Closed Championships provided an entry is received by the closing date

·         Entries are limited to a maximum 32 draw for Boys and Girls in each age group

·         If you wish to check your entry has been received, please call your England Squash Area Office

·         The venue for your event will be posted on www.englandsquash.com along with the registration times for each age group preceding the tournament.

 

Child Protection

 

Photography and Recorded Images

 

England Squash recognises the need to ensure the welfare and safety of all young people in sport. In accordance with our child protection policy we will not permit photographs, video or other images of children/young people to be taken without the consent of the parents/carers and children/young people.

 

A copy of the full guidelines is available from www.englandsquash.com

 

England Squash will take all possible steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform England Squash immediately.

 

I (parent/carer) consent to England Squash photographing or videoing my child’s involvement in the Area Closed Championships 2006 for the purposes of publicising and promoting the sport, or as a coaching aid.

 

 

Signed: ______________________________________ Date: _____________________

 

 

I (child/young person) consent to England Squash photographing or videoing my involvement in the Area Closed Championships 2006.

 

 

Signed: ______________________________________ Date: _____________________

 

Please ensure both the player and Parent/Carer have signed and dated above

 

I enclose my entry fee of £15.00 (cheques made payable to England Squash)

 

I do not wish to be included on the reserve list if not accepted initially for the draw

 

I agree to abide by the England Squash Code of Conduct.

 

 

Please forward the completed entry form and payment to:

 

England Squash, Sports Development Unit, University of Brighton, Falmer, Sussex, BN1 9PH  Tel: 01273 644103

 

The closing date for entries is 12.00pm on Wednesday 27th September 2006. Any entries received after this time and date will not be accepted.

 

Please note no entry will be accepted unless accompanied by payment.