Event

Event: / Golf Beginners
Venue: / Centurion Park, Rheydt Avenue, Wallsend, Tyne and Wear, NE28 8SU
Date of event: / Friday 19 August 2016
Start time: / 10am- 3pm

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: Your 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.
Are clubs required?


Section 2: Entry Fee

CSSC Members: £15.00 …… Non-Members (16yrs+): £30.00 ……

To pay by card please call 01494 888434 quoting the event I.D 3759 and name of event

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

Refund Policy: No refunds will be given from a month prior to the event.

Payment Method: / Total Amount: / £

Please complete ALL details below for any attendees

Name / Adult/child
and age / CSSC number
(if applicable) / Contact number / Email Address / NOK and contact
number if different

Section 3: Event Information

The price for the day includes clubs (if required), range balls, green fees where necessary and lunch.

10 am registration

10.15 am long game on the driving range

11.15 am putting

12 pm lunch

12.30 pm putting competition

12.50 pm pitching

1.30 pm play some golf (on course)

3 pm end of day

Section 4: Important Information

Medical: Please let us know if you have 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.
This event is open to your friends or family members. As a reminder, under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events at members’ rate. 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.

Once entry forms and payment are received and processed an acknowledgement email will be sent out with further information a week before the event.

Signed: Date:

Please send all entries to:

Post: Jennifer Yarrow

CSSC Sports & Leisure

Compton Court

20-24 Temple End

High Wycombe

Bucks

HP13 5DR

Email:

Phone: 01494 888434