BSC entry form

Entry form

Open Epee Entry Form: PLEASE PRINT & COMPLETE ALL FIELDS.

Event:

Men’s                                                   Women’s

Name:

Date of birth:

                                                             Age on 1st Jan. 2010:

Address:

Postcode:

                                   Phone no:

BF Number:



Club:

Nationality:

e-mail address:

ENTRY CLOSES ~TUES 1ST SEPT AUGUST

ENTRY FEE £20 LATE ENTRIES £25

ENTRIES ON DAY £30 (AT ORGANISERS’ DISCRETION)

I enclose an entry fee of £20.00 payable to London Open Epee.

I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the tournament. I also accept that I may be drugs tested at the tournament.

SIGNED

(U18 BY PARENT OR GUARDIAN)

Min age—13 on 1st Jan 2010

Contact:

Kate Smith

kate.1@virgin.net phone:

020 399 2440

skype: Epeeist1955

145 Raeburn Ave,

Surbiton,

Surrey,

KT5 9DD.