CSSC Event Entry Form
Event
Venue
Date of event
Closing date for entries
CSSC Midlands Archery Tournament
Bowbrook Archers, Withington, Shrewsbury, SY4 4PS
Saturday 17 June 2017 – 10.00 start
Friday 9 June 2017
Regional Qualifier, where the winners will receive an invitation to the national finals in Andover on 8
September, all expenses paid (providing the entry criteria has been met).
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.
1. Personal Details (Delete as applicable)
Title:
Gender:
Forename:
Over 18: Yes
Surname:
No
Home Address
Postcode
CSSC membership no.
Staff / Payroll number :
Home Telephone no.
Mobile Telephone no.
Work Telephone no.
Email
Next of Kin
NoK Contact Tel. no.
2. Entry Fee
The entry fee is £3.00 per person.
Payment can be made by credit/debit card by phoning Hilary Gray on 01494 888438. Any cheques should be made
payable to “CSSC Midlands” and should accompany the entry form. Please do not send cash.
Total amount
£
Payment Method:
3. Competitor Requirements
The competition is open to all full subscribing members of CSSC.
This event is also open to your friends or family members. As a reminder under our new Linked
membership scheme, up to three of your friends or family members can join CSSC and take part in
our events at a member’s 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.
Anyone who is not a subscribing member of CSSC and wishes to take part must obtain a membership application
form available from Hilary Gray on [email protected] or 01494 888438. If you are unable to quote your
membership number please contact CSSC Head Office Membership department on 01494 888444.
Competitors must be current members of GNAS – membership must be valid on day of shoot. Please dress in
accordance with GNAS regulations and bring your current card with you
4. Regional Subsidy for travel and subsistence
The Midlands Region have signed up to provide 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 – [email protected]. All claims
must be made within 3 months of the competition and receipts must be provided where applicable.
5. Competition Format
Championship round: York / Hereford. Sighters 10.00 a.m.
Please indicate your bow type: Recurve
Compound
Longbow
6. 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.
The organiser reserves the right to cancel any event if there are insufficient entries. The organisers decision on all
matters is final. All entries to be received by Hilary Gray.
Once entry form and payment is received an acknowledgement will be made by email.
Any enquires directly linked to the event please contact Sarah Trout on 07711 620443 or (wk) 01527 599338
Email [email protected]
Signed:
Date:
Please send all entries and cheques to:
Post:
Hilary Gray
CSSC Sports & Leisure
Compton Court
20-24 Temple End
High Wycombe
Bucks
HP13 5DR
Contact: [email protected]
01494 888438
Photocopies forms will be accepted