Venue / Cressington Lawn Tennis Club, Cressington Park, Liverpool, L19 0PH
Date of event / Thursday 4th – Friday 5th May 2017
Closing date for entries / Tuesday 2nd May 2017
Start time / 10:00am
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.
Department/OrganisationSection 1: Details
Title: / Forename: / Surname:Gender: / Over 18: / Yes / No
Address (for communication)
Postcode
CSSC membership No.:
Home Telephone No.: / Work Telephone No.
Fax No.: / Email
Next of Kin / NoK Contact Tel. no.
Section 2: Tournaments
Tournament / Name of Partner1. Men’s Singles
2. Ladies Singles
3. Ladies Doubles*
4. Men’s Doubles*
5. Mixed Doubles*
*Important The partner must submit a separate entry form together with their own entry fee.
(Please contact organiser if a partner is required)
Section 3: Entry Fee
The entry fee is £10.00 per person (fully refundable upon participation) All cheques should be made payable to CSSC North West and should accompany the entry form. Payment can be made by credit/debit card please call 01494 888407 Please do not send cash.
Please state who is paying your entry fee: Self Other ______
(Please see the attached information sheet about fee subsidies)
Total amount enclosed: / £ / Method of payment:Start 10.00am and finish 4.30pm on both days.
Subject to entries the competition will run on a knockout basis and will include men’s and Ladies singles and Men’s, Ladies and mixed doubles. A plate competition will also be run. Match sets subject to entries and weather.
Section 4: CSSC Subsidy for travel and subsistence
CSSC are providing 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 via email . All claims must be made within3 months of the competition and receipts must be provided where applicable.
Section 5: Advertising
Please indicate how you heard about the event:
Leisure Scene magazine / Other CSSC Event / Friend/ColleagueCSSC Website / Poster in the workplace / Departmental Intranet
Section 6: Important Information
Medical: Please let us know if any member of your team has any physical or medical conditions
Yes/No (Delete as applicable)
If yes, please give detailsIMPORTANT: 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. Competitors should arrive a minimum of 20 minutes before the start of the event and report to the organiser. If you are unable to play please contact the organiser as soon as possible. If you are in doubt as to whether the event will go ahead because of bad weather please confirm with the organiser before commencing your journey.
All entries to be received by Tuesday 2nd May 2017.
Any enquires directly linked to the event please contact Arthur Roskell on 0151 281 0864 or mobile 07759154054.
Signed: Date:
Please send all entries and cheques to:
Post: Rebecca Brand
CSSC Sports & Leisure
Compton Court
20-24 Temple End
High Wycombe
Bucks
HP13 5DR
Contact: or phone 01494 888407