ENTRY FORM — CAMDEN LPJS SABRE — SAT 14 JANUARY 2006

To: Pat Aiyenuro, 18 Barnfield, Upper Park Rd,
    London NW3 2UU. E-mail: nazaree@hotmail.com

All fencers must be members of British Fencing
and present their cards on the day.

Fencer:________________________________________________

BF Licence No (essential): ____________________________


Address: ______________________________________________

_______________________________________________________

_____________________________   Postcode: _____________

Tel: ____________________  Mobile: ____________________

E-mail: _______________________________________________   

DoB: ____________   Club: _____________________________


LPJS ID:_________

PLEASE FILL THIS IN VERY CAREFULLY. Your unique
Identification code for the LPJS consists of your initials,
first name followed by surname (if your name is double
barrelled eg Bond-Williams then only use the first letter
"B", then your date of birth in the format ddmmyy and then
your sex, either M for male or F for female. For example I
am Ben Paul, my date of birth is the 2nd of July 1980 and
I am male my unique code is BP020780M. Please note that if
this LPJS ID is not filled in correctly you will not
receive the appropriate points for the event and we are
unable to guarantee that mistakes can be rectified at a
later date.


State any medical conditions - injuries, asthma, diabetes,
heart / lung conditions, haemophilia, allergies, etc.

_______________________________________________________

Emergency Tel: ____________________


I wish to enter my child for the Camden Leon Paul Sabre
Tournament 2006: 	

	Boys' [    ]  Girls' [    ]

I enclose a cheque payable to Camden Fencing Club' for
£10 (£13 after 8th January 06, if accepted) 


I understand that neither the organisers of the competition
nor Acland Burghley School can be held responsible for any
loss, damage or injury to fencers, their equipment and
clothing howsoever caused (Rules for competition t.81)


Signature of parent/guardian: _________________________

Please also print your name: __________________________

Date: ____________