This form is designed for you to fill in, print, sign and post with your bib application.
It does not "go anywhere" on-line.

 BCU Slalom Committee

Registration and Bib Application

Canoeing and Kayaking are "Assumed risk" - "Water contact sports" that may carry attendant risks. Participants should be aware of and accept these risks, and be responsible for their own action and involvement.
I have read and accept this condition

 (Signed)
Signature of parent/guardian if under 18

 (Signed)

Please complete this form, print it and send it to the Bib Officer for your Class and Division with:

 
Your current national association card or a photocopy

 
£9 deposit OR a valid £8 bib voucher (cheques payable to BCU Slalom Committee)

 

A large, strong SAE with postage for 150g. If we can squeeze the bib into the large letter format the price is 90p 1st class, 76p 2nd class. If not it if has to go as a packet at £1.62 1st class or £1.41 2nd Class. From 6th April 2010 the rates are: large letter 96p 1st class, 81p 2nd class: packet £1.72 1st class or £1.51 2nd Class.

YOU MAY NOT BE INCLUDED IN THE RANKING LIST UNLESS THIS FORM IS RETURNED WITH A VALID MEMBERSHIP CARD

If this information changes during the year please inform the compiler IN WRITING. If your BCU / SCA / Canoe Wales membership runs out between the date of your bib application and 1st November it is your responsibility to supply proof of renewal before competing. Students are advised to use their home address if possible.

CLASS DIVISION
BIB NUMBER MASTER OPT-IN *
NAME DATE OF BIRTH
ECA/Canoe Wales/ SCA/CANI Number EXPIRY
ADDRESS

POSTCODE

TELEPHONE
EMAIL ADDRESS
FIRST CLAIM CLUB

* DVs are now termed MASTERS, and will be classed as M. If you will be 35 by the end of this year and do not wish to be identified on ranking lists and results sheets as a Master, please select NO above.

There will also be a Masters League, in which Masters will be classed as M35 (35-39), M40 (40-44) and so on. If you do not want to enter the Masters League (but wish to be listed simply as M) please boldly circle the statement below.

I do not wish to be included in the age-banded Masters League.

SECOND PADDLER (C2 ONLY)

NAME DATE OF BIRTH
ECA/Canoe Wales/ SCA/CANI Number EXPIRY
ADDRESS

POSTCODE

TELEPHONE
EMAIL ADDRESS

BIB OFFICERS

K1W

Prem & Div 1: Lynne Farrow, Afallon, Goginan, ABERYSTWYTH SY23 3PA

Div 2 & 3: Tammy Jackson, 4 Florence Way, BASINGSTOKE, RG24 9SA

C1M and C1W

All Divisions: Les Milam, 17 Reynolds Road, Shirley, SOUTHAMPTON SO15 5GR

C2

All Divisions: Stuart Meakins, 8 Marlborough Close, Oaklands, WELWYN, AL6 0UG

K1M

Prem: Tracy Wells, 34 Donne Close, Higham Ferrers, RUSHDEN, NN10 8PF

Div 1: Nick Penfold, 2 Qualitas, Roman Hill,, BRACKNELL, RG12 7QG

Div 2: Tony Rackham, 7 The Grazings, HEMEL HEMPSTEAD HP2 5JN

Div 3: Mike Patrick, 5 Southway Avenue, Appleton, WARRINGTON, WA4 3AF

Vets

Prem & Div1 (All Classes): Mike Carter, 5 Clarendon St, BEDFORD MK41 7SQ

Div 2/3 (All Classes): Keith Sunderland, 7 Meynell Walk, PETERBOROUGH PE3 9RR