ENGLAND YOUTH NATIONAL CHAMPIONSHIPS

GRAFHAM WATER SATURDAY 5TH JULY 2008

ENTRY FORM

FIRST NAME ……..………………………………………………………………….

SURNAME    ………………………………………………………………………….

ADDRESS    …………………………………………………………………………

                        …………………………………………………………………………

POSTCODE …………………………………………………………………………..

TELEPHONE  ………………………………………………………………………..

DATE OF BIRTH     …………………………………………………………………..
(Must be between 1.8.91 and 5.7.96)

SIGNATURE OF PARENT or GUARDIAN  ……………………………………….

PLEASE SEND TO:           MARTIN DIXON
                                                3 BRADELEY HALL RD
                                                CREWE, CHESHIRE
                                                CW1 5QJ

NOTES:
ENTRY FEE IS £25 ALL INCLUSIVE (CHEQUE PAYABLE TO EYFA)

CLOSING DATE FOR ENTRIES 30.6.08