Event
Event / North West Snooker Tournament 2017Venue / Rileys Sports Bar,Liverpool Grand Central, Bolton Street, Liverpool, L3 5LX
Date of event / Friday 14 July 2017
Closing date for entries / Friday 7July 2017
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.
Title: / Forename: / Surname:Gender:
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
The entry fee is £10.00 per person. Refundable upon participation via the National Travel Policy. Cheques will be kept and shredded once confirmation of attendance.
To pay by card please call Jennifer on 01494 888434quoting thename and date of event as above.
All chequesshould be made payable to ‘CSSC North West’ and should accompany the entry form. Please do not send cash.
Total payment amount: / £ / Payment method:Section 3: National Travel Policy- Subsidy for travel and subsistence
The North West 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 CSSC Events team via email . All claims must be made within3 months of the competition and receipts must be provided where applicable.
Section 4: Competition
This competition is open to all subscribing members of CSSC.
The competition will start at 12.30pm. Registration at 12:00pm
Spectators Welcome
Section 5: 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.
The organiser reserves the right to cancel any event if there are insufficient entries. The organiser’s decision on all matters is final. All entries to be received byFriday 7 July 2017.
Any enquires directly linked to the event please contact Tony Southernon 07736551771 (mobile)/ 0151 2895942 (Home) or e-mail
Signed: Date:
Please send all entries to:
Email:
Post: Jennifer Yarrow
CSSC Sports & Leisure
Compton Court
20-24 Temple End
High Wycombe
Bucks HP13 5DR