Entry Form for UK Seniors 2017 Surname Forename(s) Address Home phone Work phone Fax Mobile Email Date of birth Membership No. Club Club: Event: Date: I wish to enter the above event. I am in possession of a current British Water Ski & Wakeboard Tournament Licence. I am a current member of British Water Ski & Wakeboard. I wish an exemption from Licence requirement (organising club members only) I undertake to save harmless and keep indemnified BWSW, Three Sisters WSC and their officials from and against all claims in respect of injury caused to my person or property in connection with my entry. SIGNATURE (PLEASE SIGN – DO NOT PRINT)_________________ DATE _______________________ I wish to enter the following events () Slalom Tricks Jump Jump Height I opt to use the special jump option () My Current best performances are: Slalom Tricks Jump Return the completed form to [email protected] or 82 Rosewood Drive, Winsford, Cheshire CW7 1QW. Please supply an email address for confirmation of your entry Enclose the entry fee (cheques made payable to the Three Sisters WSC). 1 event £65, 2 events £110, 3 events £150 Please indicate if you would like a map and travel instructions () British Water Ski & Wakeboard can accept no responsibility for the accuracy of information distributed on any clubs’ behalf nor guarantee that any club will accept entries on application forms other than those distributed by the clubs. Entrants are therefore strongly advised to confirm with the event organiser that their entry has been accepted. Please return together with your cheque / postal order made payable to the above address. Alternatively you can pay using internet banking if you wish. Please put your surname and comp date in the reference field. Account details are as follows: Account: Acc Number: Sort Code: Three Sisters WSC 10113007 16-28-26
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