1. Team Captain S Details ( Delete As Applicable)
Of Ment
Event / CSSC Scotland Fly Fishing Singles and 2 Man Team Event 2017
Venue / Lake of Menteith, nr Aberfoyle
Date of event / Friday 19th May 2017
Closing date for entries / Friday 28th April 2017
*Every endeavour will be made for the preferred date, but there is no guarantee. Although this is a 2 man team event the top 2 individuals qualify for the national finals.
If you wish to be considered for this then your boat partner will be drawn out of the other competitors who also wish to compete, please tick here if you wish to be considered.
Please complete all sections in BLOCK CAPITALS. CSSC membership numbers must be included. You may find it helpful to ‘Tab’ from one field to another.
Team Name:1. Team Captain’s Details (Delete as applicable)
Title: / Forename: / Surname:Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
Team Member 2 (Delete as applicable)
Title: / Forename: / Surname:Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
2. Entry Fee
The entry fee is £12.75 per person for a 4 fish limit each.
All cheques should be made payable to ‘CSSC Scotland’ and should accompany the entry form. Please do not send cash. If you would like to pay by credit/debit card, please call 01494 888407 quoting the name and date of the event.
Total amount enclosed: / £ / Payment method:3. CSSC Subsidy for travel and subsistence
CSSC are providing competitors with financial help to attend CSSC Regional Events, please click here to see what you are entitled to claim or contact the Events Team via email . All claims must be made within3 months of the competition and receipts must be provided where applicable.
4. Important Information
Medical: Please let us know if any member of your team has any physical or medical conditions
Yes/No (Delete as applicable)
If yes, please give detailsIMPORTANT: These events are active and players should be aware of the physical activities involved. CSSC reserves the right to cancel the event if under subscribed.
All CSSC members taking part in the event are covered by CSSC Sports and Leisure Public Liability Insurance. Please note that this policy is NOT a Personal Accident Policy. Members are encouraged to take out their own insurance policy.
The event will be fished to the Lake of Menteith fishery rules & no electric outboards are allowed. A copy of therules will be handed out on the day. Any person who wants to qualify for the National Final will need to be drawn on a boat at random.
It will be a straight 4 fish weigh in for the team event only. For those fishing the singles, there will be a first 4 fish per competitor weight and then for each fish caught after that a weight of 2LB per fish will be added. Each card must be signed off by your boat partner.
The organiser reserves the right to cancel any event if there are insufficient entries. The organiser’s decision on all matters is final. All entries to be received by Rebecca Brand.
Any enquiries directly linked to the event please contact Ian Stirrat on 01292 291350 or 07821576470 or e-mail .
Please note that this event will operate on a 1st come 1st served basis as it is usually oversubscribed.
Please note this event is only over 1 heat this year due to decreasing numbers over the past few years.
Signed: Date:
Please send all entries to:
Post: Rebecca Brand email:
CSSC Sports & Leisure
Compton Court
20-24 Temple End
High Wycombe
Bucks
HP13 5DR