Section 1: Your Details (Delete As Applicable) s8

Event

Event / North West Coarse Angling – Regional Qualifier
Venue / Chapel Pool (Private Fishery) Park Lane, Mere Brow Tarleton PR4 6JN
Date of event / Friday 13th July 2018
Closing date for entries / Monday 2nd July 2018

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.

Section 2: Entry Fee

The entry fee is £10.00 (to be reimbursed on participation via National Travel Policy)

All cheques should be made payable to “CSSC North West” and should accompany the entry form. Please do not send cash.

If you wish to make a credit/debit card payment, please call 01494 888434. Please quote the name of the event when paying via card

Total amount enclosed: / £ / Payment method:

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

Section 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 details

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.

ABOUT CHAPEL POOL

This is a private fishery with no day tickets but you will have the opportunity to fish one of the best lakes in the North West.

The draw will be at 10am, please arrive by 9:45am, with fishing from 11-5pm (6 hours). The current lake record is 232lb with weights around 80lb to 100lb very common. The lake holds carp, barbel, chub, ide, bream and a variety of all other species. It is not uncommon to catch 8 to 10 different species in a match. The lake has 30 pegs and is only 4 foot deep with 1 foot around the edges. Corn, meat and pellets sort out the Carp with maggots and casters getting you bites all day off ide, skimmers and stockies.

Please note that Bloodworm/Joker, Boilies, Trout Pellets, Cat/Dog Food and Barbed Hooks are banned on this venue. (size 12 hook maximum) A Hook check will be made prior to fishing. All ledger/feeders must be free running no fixed leads.

IF YOU USE A SAT NAV THE POSTCODE FOR THE LAKE IS PR4 6JN.

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 Monday 2nd July 2018.

For further details about the event please contact Clive Hill on 07522 537 229 or email

Signed: Date:

Please send all entries to:

Email:

Post: Events Team

CSSC Sports & Leisure

Compton Court

20-24 Temple End

High Wycombe

Bucks

HP13 5DR

Contact: 01494 888434