Event
Event: / White Water RaftingVenue: /
Tees Barrage International White Water Centre, Stockton on Tees, TS18 2QW
Date of event: / Sunday 21 August 2016Start time: / 10am
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
CSSC Members: £25…………Non-Members (14yrs+): £50 …………..
To pay by card please call 01494 888434quoting theevent I.D 3590and 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/childand age / CSSC number
(if applicable) / Contact number / Email Address / NOK and contact
number if different
Section 3: Event Information
On arrival, you will be designated an experienced and qualified raft guide. They will talk you through a briefing, instructions and warm-up before releasing you onto the white water rapids.You will rush down the Jubilee course multiple times, and your guide will make it more advanced with each passing run.
The added bonus of visiting Tees Barrage White Water Centre is that our new Lazy Boy conveyor system takes you back to the top pool with no need to lift, carry or exit the raft.
All Participants must be aged 14 years and above, be able to swim 25 metres, and weigh no greater than 16 stone.
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 detailsAny 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