Event
Event / Wales Pairs Golf TournamentVenue / Ashburham Golf Club, Burry Port, Carmarthenshire, SA16 0HN
Date of event / Friday 20October 2017
Closing date for entries / Friday 6October 2017
Start time / 9:50am
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: Player 1: Details (Delete as applicable)
Title: / Forename: / Surname:Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
Handicap
Player 2: Details (Delete as applicable)
Title: / Forename: / Surname:Home Address
Postcode
CSSC membership no.
Home Telephone no. / Work Telephone no.
Mobile Telephone no. / Email
Next of Kin / NoK Contact Tel. no.
Handicap
Section 2: Entry Fee
The entry fee is £25 – CSSC Members (with optional £2 ball sweep payable on the day) £35 - Guests
To pay by card please call 01494 888439
All cheques should be made payable to ‘CSSC Wales’’ and should accompany the entry form. Please do not send cash.
Total amount enclosed: / Method of payment:• Anyone who is not a member of the CSSC and wants join can obtain a membership form from Matt Taylor on 01494 888439 or the organiser (if different). If you are unable to quote your CSSC number e.g. lost card, a form for a replacement card can be found online or please contact our customer services team on 01494 888444.
Section 3: Regional Subsidy for travel and subsistence
The Wales Region have signed up to provide competitors with financial help to attend CSSC Regional Events, please click hereto 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: Event Information
The first tee time will be at 9:50am. This is an 18 hole course and a light lunch will be provided.
The event will be 18 hole 4 ball better ball stableford competition off yellow tees. Prizes will be awarded for the top four places along with a nearest the pin competition.
Don’t forget that this event is also open to your friends or family members. Under our Linked membership scheme, up to three of your friends or family members can join CSSC and take part in our events. 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.
Any queries to the event organiser
Any enquires directly linked to the event please contact Mike Cox via
Section 5: Important Information
Medical: Please let us know if you have any physical or medical conditions
Yes/No (Delete as applicable)
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 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 by 6October 2017.
Signed: Date:
Please send all entries and cheques to:
Post: Matt Taylor
CSSC Sports & Leisure
Compton Court
20-24 Temple End
High Wycombe
Bucks
HP13 5DR
Contact: Telephone: 01494 888439