Competition Entry Form
Home
Select a Different Event
/
Complete a New Entry Form
Champion of Champions Finals
Sat 12 - Sun 13 November 2022
Prize Fund £TBA - Entry Fee £52.00
Venue: Pontins Holiday Centre, Prestatyn,
Central Beach, Barkby Avenue,
Denbighshire, LL19 7LA
Tournament Director: Tom Fahy
*** CLOSED ***
Closing Date for Entries: 04.11.2022
ENTRY FORM
(Order Reference - E381BA16)
Primary Contact/Entrant Details
League Name
* Required Field
County (affiliated to in 2022)
Bedfordshire
Berkshire
Bristol
Cambridgeshire
Cheshire
Cleveland
Cornwall
Cumbria
Derbyshire
Devon
Dorset
Essex
G.M.C.
Gloucestershire
Hampshire
Herefordshire
Hertfordshire
Humberside
Kent
Lancashire
Leicestershire
Lincolnshire
London
Merseyside
Norfolk
North Yorkshire
Northamptonshire
Northumberland
Nottinghamshire
Oxfordshire
Shropshire
Somerset
South Yorkshire
Staffordshire
Suffolk
Surrey
Sussex
Tyne and Wear
Warwickshire
West Midlands
West Yorkshire
Wiltshire
Worcestershire
* Required Field
First Name
* Required Field
Last Name
* Required Field
Address1
* Required Field
Address2
Town
* Required Field
County
* Required Field
Postcode
* Required Field
Telephone
* Required Field
Alternative Phone
e-mail
* Required Field
Comment
Please ensure you have included a contact Phone or Mobile above
Please also note the following
Winners or Runners Up
* Required
Mens Singles Name
* Required
Mens Singles Address
* Required
Mens Singles Phone
* Required
Mens Singles email
* Required
Ladies Singles Name
* Required
Ladies Singles Address
* Required
Ladies Singles Phone
* Required
Ladies Singles email
* Required
Team Name
* Required
Team Address
* Required
Team Phone
* Required
Team email
* Required
Team Contact Name
* Required
Team Player 1
* Required
Team Player 2
* Required
Team Player 3
* Required
Team Player 4
* Required
Team Player 5
* Required
Team Player 6
* Required
Team Player 7
* Required
Team Player 8
Team Player 9
Team Player 10
Refresh
Type the security text above (numbers and letters):
Please note our
Privacy Policy
and
Privacy Notice
By clicking "Submit" you are agreeing to the entry terms for this competition
(available elsewhere on this web site)
and that you have been made aware of our Privacy Policy and Privacy Notice
Note - your on-line entry will only be accepted when you have paid
You do NOT need a PayPal account to pay using PayPal
© 2004 - 2024 English Pool Association. All rights reserved.