2013-14 Entry Form

Closing Tournament Date Venue Tournament Secretary Acceptance Date

Mark Elliott, 27 Duncan Road, Reading, Berkshire, RG5 4HR Home Counties - Oct 26 Oct 5 Loddon Valley Leisure Centre, Rushey Way, Earley, Singles & Level Doubles Reading RG6 4GD Tel: 0118 9312066 Tel: 0118 9696925 CHEQUE- ‘BJBA’

Mark Males, 220 Iford Lane, Bournemouth BH6 5NE County Bournemouth – Nov 2 Oct 12 Harewood College, Harewood Avenue, Bournemouth Singles & Level Doubles BH7 6NZ Tel: 01202 705055 Tel: 07526 444347 CHEQUE- ‘Bournemouth Performance Centre’ Web Link

Claire Hills, 13 Muirfield, , Bedfordshire LU2 7SB Bedfordshire - Nov 3 Oct 11 Vauxhall Recreation Centre, Gipsy Lane, Luton LU1 3JH County Singles & Level Doubles Tel: 01582 418873 Tel: 07801 846188 CHEQUE- ‘Luton PC’ Web Link

Alan Rogers, 133 Park Road, Barton Under Needwood, Staffordshire East Staffordshire-Nov 16 Oct 21 Paulet High School, Violet Way, Burton on Trent, Singles & Level Doubles Staffordshire DE15 9RT DE13 8DD Tel: 01283 713517 CHEQUE- ‘East Staffs Badminton DG’

John Boyd, 33 Mill Lane, Chalgrove, Oxon OX44 7SL Tel: 01865 400037 – Nov 23 Oct 25 White Horse Leisure Centre, Audlett Drive, Abingdon, County Singles & Level Doubles Oxon OX14 3PJ Tel: 01235 540700 Online Entry Only Web Link

Paul Harper, 1 Troutbeck Avenue, , Warwickshire Warwickshire – Nov 30 Nov 2 St. Nicholas Park LC, Banbury Road, Warwick County Singles & Level Doubles CV34 4QY Tel: 01926 495353 CV32 6NE Tel: 07973 291270 CHEQUE - ‘Warwickshire SBA’ Web Link

Margaret Andrews, 68 Langham Way, Ivybridge, PL21 9BY Devon - Dec 7 Nov 8 University Sports Hall, Stocker Road, Exeter County Singles & Level Doubles EX4 4QN Tel: 01392 264452 Tel: 01752 894021 CHEQUE- ‘DSBA’ Web Link

Richard Taylor, 23 Highbury, Jesmond, Newcastle Upon Tyne NE2 3DY –Jan 25 Jan 4 Tyneside Badminton Centre, Bowness Road, Slatyford, County Singles & Level Doubles Newcastle Upon Tyne NE5 2TA Tel: 0191 2415385 Tel: 07764 943984 CHEQUE- ‘Northumberland BA’ Web Link

Carol Bilton, 55 Lime Grove, New Malden KT3 3TP Tel: 07754 299900 Surrey – Feb 2 Jan 12 Woking LC, Woking Park, Kingfield Road, Woking Singles & Level Doubles GU22 9BA Tel: 01483 771122 CHEQUE- ‘Surrey Schools BA’

Mark Males, 220 Iford Lane, Bournemouth BH6 5NE County Bournemouth - Feb 15 Jan 25 Harewood College, Harewood Avenue, Bournemouth Singles & Level Doubles BH7 6NZ Tel: 01202 705055 Tel: 07526 444347 CHEQUE- ‘Bournemouth Performance Centre’ Web Link

Roger Cook, 13 Perth Grove, Hartburn, Stockton On Tees, TS18 5BJ Tees Valley - Feb 22 Jan 31 Thornaby Pavilion LC, Thornaby Centre, Thornaby, County Singles & Level Doubles Stockton On Tees TS17 9EW Tel: 01642 760971 Tel: 01642 656227 CHEQUE- ‘Teesside BCA’ Web Link

SE - Feb 23 SE Essex PC, William Edwards School, Stifford Clays Eric Brown, 25 Bounds Green Court, London N11 2EX County Feb 6 Web Link Singles & Level Doubles Road, Essex, Grays RM16 3NJ Tel: 07918 655393 CHEQUE- ‘Essex CBA’

Lauren Thomas, 1 Berkeley Road, Hillingdon Middlesex UB10 9DU Middlesex – Mar 1 Feb 8 The Dome, North hyde Lane, Southall, Middlesex County Singles & Level Doubles UB2 5TZ Tel: 020 8571 6910 Tel: 07787 333796 CHEQUE- ‘Middlesex CBA’ Web Link

2013-14 Entry Form

PLEASE COMPLETE AND RETURN THIS PAGE, ALONG WITH A CHEQUE FOR THE CORRECT ENTRY FEES PAYABLE TO THE RELEVANT TOURNAMENT SECRETARY BY THE CLOSING DATE SHOWN.

PLEASE CHECK WHERE A STAMPED ADDRESSED ENVELOPE MUST BE PROVIDED OR REFER TO THE COUNTY WEB LINK WHICH CAN BE FOUND ON THE WEB LINKS PAGE ON THE BADMINTON WEBSITE. PLEASE NOTE THAT SOME COUNTIES MAY HAVE A WEB LINK BUT STILL REQUIRE A (SAE) AS STATED ABOVE OR IF YOU DO NOT HAVE ACCESS TO THE WEB.

TOURNAMENT DETAILS

Please enter me for On (date)

PERSONAL DETAILS

Surname Forename

Male Date of Birth Female

BE Membership Number (Players do not need to be a member to play junior events but providing this number will help with the allocation of rankings)

County you represent Club/Performance Centre

Address

Postcode E-mail

Telephone:- Home Mobile

Singles £14.70

Doubles £11.55 Partner for Level Doubles County they represent

PARENT / GUARDIAN DECLARATION

I have read the Conditions of entry and Tournament Conditions and confirm that all details given above are correct. To the best of my knowledge will be fit to compete in the tournament. I hereby consent to my son / daughter entering the above named tournament and accept full responsibility for his/her behaviour at the venue and throughout the tournament.

Please identify any medical conditions that you feel the organiser should know about

Signature Date

Emergency telephone number if different from above