ENTRY FORM

ASHTON LEON PAUL JUNIOR SERIES EPEE AND FOIL 2011

Boy/Girl Foil/Epee (delete as appropriate)

Name..................................................................................

Address...........................................................................................................................

............................................................................................................................................

...................................................................Postcode..........................................................

Tel...........................................................Email...............................................................

Club...............................................................BFA...............................................................

Date of Birth..........................................Entry Fee...................

LPJS id............................. First name initial, surname initial, DOB, M or F (e.g. TL150296F)

I accept that the organisers cannot be held responsible for any accident, loss or damage sustained at the event.

Signed............................................................Date...................................

(Parent/Guardian)