| Event Title | |
| Venue |
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Date |
Time |
Entry fee |
Closing date |
| Categories |
Under 8 |
Under 10 |
Under 12 |
Under 14 |
Under 16 |
Over 16 |
| Organiser Name | Tel | ||
| Organisers address | Fax | ||
| Cheques to |
| Please enter me for: | ............................................................................................ |
| My full name | ........................................................................................... |
| MY BSCA MEMBERSHIP NO: CLUB OR PRIVATE MEMBER NO |
| My Address |
........................................................................................... ........................................................................................... .................................................. Postcode.............................. |
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| My phone no |
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| My birth date |
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| My School | ........................................................................................... | ||||
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ALL COMPETITORS IN BSCA EVENTS RIDE IN THEIR SCHOOL NAME |
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| My Club | ........................................................................................... | ||||
| My club/school colours | .......................................................................................... | ||||
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I hereby declare that the particulars submitted on this entry form are complete and correct. I agree to abide by the rules of the BRITISH SCHOOLS CYCLING ASSOCIATION and to accept the decisions of their Officials in all matters concerning this event |
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| Signed |
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TO BE SIGNED BY YOUR PARENT/LEGAL GUARDIAN I being the parent/legal guardian of the entrant named on this form hereby agree to his/her participation in the competition under the terms and conditions stipulated
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BSCA records are being updated onto computer. Members not wishing their details to be stored on computer should contact the General Secretary |
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