Event

Event / South West Shore Angling Qualifier – First Leg for 2018 Finals
Venue / Beesands Devon, TQ7 2EH
Date of event / Friday 21st April 2017
Closing date for entries / On the day
Registration / Start time / 8:00am/9:30am

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.

Section 1: Your Details (Delete as applicable)

Title: / Forename: / Surname:
Gender: / Over 18: / Yes / No
Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.

This event is free to enter.

Section 2: 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 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.

This event is open to your friends or family members. As a reminder, under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events at members’ 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.

The organiser reserves the right to cancel any event if there are insufficient entries. The organiser’s decision on all matters is final.

Any enquires directly linked to the event please contact Tony Hiscock on 01823442685 or e-mail

South West

Section 3: Regional Subsidy for travel and subsistence

All the Area Associations in the South West have signed up to provide competitors with financial help to attend CSSC Regional and National Open Events, please click here to see what you are entitled to claim or contact the Event Team . Requests for assistance must be submitted no later than 3 months after the event in question.

Signed: Date:

Please contact Tony Hiscock directly to ensure a place-

Email:

Phone: 01823442685