Please Indicate How You Heard About the Event

Event

Event / CSSC National Rapid Play Chess Open Finals 2018
Venue / Carrs Lane Conference Centre, The Church at Carrs Lane, Carrs Lane, Birmingham. B4 7SX
Date of event / 4TH July (one day event)
Closing date for entries / 25th June 2018
Start time / 10.30am to 5.30pm

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.

Title: / Forename: / Surname:
Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Staff/Payroll no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
National Grading (or mark ungraded if not playing club chess)
ECF Membership no. (if applicable)

Section 2: Advertising

Please indicate how you heard about the event:

Leisure Scene magazine / Other CSSC Event / Friend/Colleague
CSSC Website / Poster in the workplace / Departmental Intranet
Email

Section 3: Entry Fee

No Entry Fee

Light lunch and refreshments will be provided

Financial assistance for any accommodation and travel costs is available from the National Travel Policy. Details of which can be found at

• Anyone who is not a member of the CSSC and wants join can obtain a membership form from Rachel Pearce on 01494 888417 or the organiser (if different). If you are unable to quote your CSSC number e.g. lost card, a form for a replacement card can be found online or please contact our customer services team on 01494 888444.

Section 4: Important Information

Don’t forget that this event is also open to your friends or family members. Under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events. Membership is also available to staff working in the Public Sector such as NHS, local government, teachers, the police, fire fighters and HM Armed forces personnel.

Any queries to the event organiser

Any enquires directly linked to the event please contact John Conway07786432860 or by e-mail

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 number of competitive sections in the competition will depend on the number of entries.

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 by22nd June 2018

Signed: Date:

Please send all entries to:

Post: Rachel Pearce

CSSC Sports & Leisure

Compton Court

20 – 24 Temple End

High Wycombe

Bucks HP13 5DR

Contact:

01494 888417