Tunbridge Wells Sports Centre
St Johns Road
Royal Tunbridge Wells
Kent
TN4 9TX
GBDF WINTER MASTERS 12th/13th NOVEMBER 2016
(Do not send your entry to the pool)
NAME...... CLUB......
ADDRESS......
TELEPHONE...... DoB...... M/F......
E-MAIL (please print clearly)......
Please complete the entry form and return to the address given below before the closing
date, together with necessary fees.
MASTERSAGE GROUP / NOVICE
AGE GROUP / FUN
COMPETITION / EVENTS ENTERED
16 - 29 / 16 - 29 / 16 - 29 / Masters Championship
30 - 39 / 30 - 49 / 30 - 49 / Novice Championship
40 - 49 / 50+ / 50 - 69 / Fun Competition
50 - 59 / 70 - 74 / Synchro
60 - 69 / 75 +
70+
Are you a GBDF member
YES/NO / If you DO NOT give your permission for your photograph to be taken please tick the box
Event entry fees are £10 for the individual events. £5 for the Fun Competition
and £5 per diver per pair for the synchro competition.
All cheques payable to the GB Diving Federation.
Non GBDF members will be charged £10 temporary membership to cover the duration of the event
Entries close 10th October 2016 LATE ENTRIES WILL BE CHARGED A £10 PENALTY.
I confirm that there are no medical reasons why I cannot dive in the events above and confirm that
I am capable of performing the dives required, in a safe manner, for the events I have entered.
Signature of entrant...... Date......
NO ENTRIES ACCEPTED WITHOUT PAYMENT OR SIGNATURE.
Masters Age Groups entry fee £10.00 orNovice Age Groups entry fee £10.00 / £
Fun competition entry fee £5 / £
SYNCHRO entry fee £5 per diver per pair / £
Non member temporary membership fee @ £10.00 / £
Saturday night buffet
Number of people ( ) @ £17.00 each / £
Polo shirt with GBDF logo ( ) @ £16.00 each. Chest size ( ) inches
Colour required BLACK, WHITE,ROYAL BLUE or RED please circle required colour. / £
T/shirt with GBDF logo ( ) @ £11.00 each. Chest size ( ) inches
Colour required BLACK, WHITE,ROYAL BLUE or RED please circle required colour. / £
Shammy with GBDF Logo without your name @ £11.50 each / £
Shammy with GBDF Logo and your first name @ £13.50 each / £
TOTAL
Please don’t forget your Coach when ordering tickets for the function.
Please note that in accordance with established child protection guidelines a CRB checked
chaperone will be required for any persons under the age of 18 attending the function.
Dive sheets will be collected electronically – more information on receipt of entry form.
Please send entry form with cheque to be received NO LATER than
10th October 2016 to:-
Mrs Lesley Grist
6 Derwent Avenue
Wilsden
Bradford
West Yorkshire
BD15 0LY