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Event / Eastern Tenpin Bowling
Venue / AMF Bowl Bretton, Peterborough, PE3 8YE
Date of event / Monday 4th September 2017
Closing date for entries / Monday 21stAugust 2017
Registration/ Start time / 4:30pm / 5:00pm

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.

Section 1: Team Captain’s Details (Delete as applicable)

Title: / Forename: / Surname:
Gender: / Over 18: / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.

Player 2’s Details (Delete as applicable)

Title: / Forename: / Surname:
Gender: / Over 18: / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.

Section 2: Entry Fee

The entry fee is £6 per person.

The price includes 3 games of bowling and burger, chips and a drink.

To pay by card please call 01494 888407 quoting the name and date of the event.

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

Total amount enclosed: / Method of payment:

• Anyone who is not a member of the CSSC and wants join can obtain a membership form from Rebecca Brand on 01494 888407 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.

Eastern

Section 3: Regional 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 . All claims must be made within 3 months of the competition and receipts must be provided where applicable.

Section 4: Event Information

This is a doubles event and will act as a qualifier for the National final if the criteria for a qualifying event is met.

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 Jackie Fordham on 03000063722 or via email on .

Section 5: Important Information

Medical: Please let us know if you have any physical or medical conditions

Yes/No (Delete as applicable)

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. All entries to be received by21stAugust.

Signed: Date:

Please send all entries and cheques to:

Post: Events Team

CSSC Sports & Leisure

Compton Court

20-24 Temple End

High Wycombe

Bucks

HP13 5DR

Contact: lephone: 01494 888407