Entry Form for Surrey Epée Team Championships.  If you are writing on a paper print then please write clearly.

1. First Name*  …………………………………

2. Surname*

3. Team is:

4. Club?*

if "Other please state club or team name:

5. Email: (please cut / paste from known working address to avoid errors):*
if you do not have an email or chose not to enter one then please type  "none".  Email policy available on request.

6. Postal address (optional if you give an email and phone number.  We cannot guarantee data security).


Address line 1:  
Address line 2:
Address line 3:
Postcode:

7. Phone*

8. Competitors must ensure that all kit is of a safe and serviceable nature, and that BFA safety guidelines are met.

9. For any team member who will be under 18 then then signature of their parent /guardian must be added to printed copy to accompany the cheque.  Note that all fencers must be age 13 or over on 1st Jan in the season of the event.
I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the competition. 
I understand that the organisers are not loco-parentis and I will ensure adequate supervision.


Signed .....................………………………...........................……    Date ............................................

10. Payment: Cheque for £28/team, payable “Surrey County Fencing Union”  
Before pressing "submit" please print this page (May need page setup -> A4) then post with cheque to:
Tim Buzwell, 11 Beaconsfield Place, Epsom, Surrey, KT17 4BD.

Thank you for your entry to this competition.  After printing out a paper copy to post then please press "SUBMIT" below.   This information will not be automatically collected unless you press submit.    If in doubt try again (so long as the name is the same we will cope!).
If you have any message / notes / comments for the organiser then enter them here










Entry Form Issue 18Oct2011
One entry form per team is preferred.
You can enter before you know who will be in the team.
All Male   All Female   Mixed   Not yet all confirmed