Event / Volleyball Indoor Championships 2018
Venue / Nottingham University – David Ross Sports Village
Date of event / 4 - 5September 2018
Closing date for entries / 24 August 2018

All Standards Welcome! Depts, Regions, Areas, Offices and Individuals!

Name of Department/ Agency/ Region/ Area
Team Contact
CSSC Number
Staff Payroll No.
Contact Address
Work Tel No.
Home Tel No.
Mobile Tel No.
E-mail

Please enter the number of teams you would like to enter in each category.

Men / Women / Mixed
11 / 1 / 11

Individuals may enter and will be assigned to a composite team.

Entry Fee

£12 per team, £4 per individual

Paying by BACS:

Bank: HSBC, Sort Code: 40-02-06, Account Number: 50232572

Please quote ‘INDOOR VOLLEYBALL’ followed by YOUR SURNAME as a BACS Reference

Paying by card:

Please call 01494 888438 to pay by debit or credit card. Entry forms can them be emailed in.

All cheques should be made payable to ‘CSSC Ltd’ and should accompany the entry form. Please do not send cash.

Total amount enclosed / £ / Method of Payment

All participants must be members of CSSC

Anyone who is not a subscribing member of CSSC and wishes to take part must obtain a membership application form. If you are unable to quote your membership number please contact CSSC Head Office on 01494 888444

Accommodation

NO ACCOMMODATION IS CENTRALLY ORGANISED but lots of local hotels /guest houses to choose from.

Team Details – Please complete fully

Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.
Name
CSSC No.
Staff Payroll No.
Address
Contact No.
E-mail
Playing Position
Next of Kin & Contact No.

National Travel Policy

As this in an Open event participants can get some help with funding (providing none is available from another source).

Please click on this link for more information:

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 details
Any Dietary Requirements

IMPORTANT: 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 organiser reserves the right to cancel any event if there are insufficient entries. The organiser’s decision

on all matters is final.

Any enquires directly linked to the event please contact Lenny Barry by email

Signed:Date:

Please send all entries and cheques to: Post:

Hilary Gray

CSSC Sports & Leisure

Compton Court

20-24 Temple End

High Wycombe

Bucks

HP13 5DR

E-mail:

Tel: 01494 888438

And copy to: