KZN Provincial Field Championships

21& 22 May 2010

Hosted by Newcastle Archery Club

Entry Form

One entry form per archer

Fax to: 086 663 4246

Pre-registration closing date: 20 May 2010

 
Archers Info:

SANIFAA member no:

Title:

First Name:

Family Name:

Gender:

 MF

ID no:

 

 Cell no:

email:

   

Club:

Province:

Style:

    
               
Competing as a : SANIFAA member R150 Non SANIFAA member R180
       
         
Some Medical info:        
  Yes No
Do you have an asthmatic condition?
Do you suffer from a heart condition?
Are you allergic to bee sting?
     
         
In chase of Emergency, who do we contact?
Name: Contact no: Relation :
 
Things to remember!! (besides bow, arrows, release etc.) you might need:
                   
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a Good spirit

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a broad Smile

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Hat

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Sunscreen lotion

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Jacket

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Raincoat

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Umbrella

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Comfortable walking shoes.

 

Payment details

Please fax deposit slips to: 086 663 4246 or e-mail it to koos@ffg.net 

Enquiries can be made to 084 514 7800 and after hours to 072 703 6224

 

Banking details,

Bank:

ABSA

Acc name:

Newcastle Archery Club

Acc no:

9222289158

Branch Code:

632005

Ref:

Surname + first 6 digits of ID