MATCHPLAY ENTRY FORM

Please now print this entry form, and return to the Matchplay Events screen by clicking at the bottom of this page. There you will find the date and time details required below. This form cannot be returned on line.

Event Information

Where                                                                   PENENDEN HEATH TENNIS ACADEMY

                                                                        Penenden Heath Recreation Ground

                                                                                  Penenden Heath Road  

                                                                                 MAIDSTONE ME14 2DH

                                                                                  This is for directions only, and is NOT a postal address. There is no post box.

                                                             All correspondence must be sent to the address given at the foot of this form.

 

Description or Code    KEN0C3

 

When (insert date & time please)
  
Name
  
Male or Female
  
Date of Birth
  
Best Tel. contacts
  
Email address
  
LTA Rating
  
British Tennis Membership No
  
Club/Centre/Academy
  
Player Signature
  
For player under 18 - Parent/Carer Signature
  
Medical Conditions you wish the organiser to be aware of  

 

I consent to the tournament conditions:

Media Statement: I consent to him/her being involved in any publicity connected with LTA Tournaments, including media interviews, photographs and TV footage. Please inform the tournament organiser if you do not wish him/her to be involved in publicity

LTA British Tennis Membership record: I consent to the details provided on this entry form to be used to update the British Tennis Membership record of the person identified

Data Usage Statement: I consent to the LTA and/or LTA Tournament Organisers, from my geographical area, using the details provided on the entry form to communicate information about this and future tournaments, in my geographical area, via post/email or SMS

Medical statement: I consent to emergency medical treatment as may be recommended by an approved medical authority

Doping Statement: I consent to him/her participating in doping control procedures if appropriate and if selected, undertaken by an independent sampling officer (ISO) appointed by UK Sport

 

 

Please post this Entry Form with cheques made payable to:

                             Martin Brown,   32 Amsbury Road,  Coxheath,  Maidstone.   ME17 4DP

                             Contact details: Mobile: 07809 829 539   Email: mcb1703@aol.com 

   

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