Miss Alpha Factor 2011 Competition Entry Form

Friday October 23rd – Sunday October 25th at the Wiltshire School of Gymnastics Please complete all sections save, and email your form to [email protected] Please do not post Entries must be received by Friday October 2 nd 2015 You will receive email confirmation that your provisional entry form has been received. Save and/or print this form off for your own records prior to sending Use the tab button on your keyboard to help move between sections requiring completion below. Contact Information Club: Contact BGA Club No.: Name: Address: Postcode: Contact Mobile Landline Email: Number: Number:

Judges Clubs entering the Quatro Cup are required to nominate and supply the following number of judges: 1 Competitor No Judge Required 2-8 Competitors 1 Judge that can judge a whole day 9-14 Competitors 1 Judge that can judge x 2 whole days or, x 2 Judges that can judge x 1 whole day each 15+ Competitors 1 Judge that can judge x 3 whole days or, x 2-3 Judges that can judge x 1 whole day each; totaling x 3 days Please ensure all judges nominated hold a judging award at the level of the gymnasts entered. Clubs are required to pay a fee @ £100.00 for each judge they are unable to provide or, if any of their nominated judge(s) fails to show at the event. Please ensure all judges nominated hold a current judging award at the level of the gymnasts entered. All judges will be fed & watered !

Judges Details: Availability Contact Email Address Sa Su Judge Name Level Contact Mobile Number Fri t n Please

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Select... Gymnasts: Team? BGA Date of T-Shirt Gymnast Name In Age Voluntary Level or FIG Out of Age Voluntary Level min. 3 / Numbe Birth Size max. 5 r Please Select... Please Select... Please

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Select... Gymnasts (continued): Team? BGA Date of T-Shirt Gymnast Name In Age Voluntary Level or FIG Out of Age Voluntary Level min. 3 / Numbe Birth Size max. 5 r Please Select... Please Select... Please

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Select... Coaches Accompanying Gymnasts: BGA Coaches Name Coaching Award Held: Membership Number Please Select... Please Select... Please Select... Please Select... Please Select... Please Select... Please Select... Please Select... Please Select... Please Select... Payment Totals: Quatro Cup Entry Fees @ £30 x Sub-Total: £ Missing Judge Fees @ £100.00 x Sub-Total: £ Team Entry Fees @ £0.00 x £ 0.00 Total Amount Due: £

Payment Methods: Please check your payment method below:

Post a cheque for total amount due payable to “Sarah Calvert” to: Calvert Gym Events, C/O The Wiltshire School of Gymnastics, Lysander Road, Bowerhill, Melksham, Wiltshire, SN12 6SP. Please write your Club name on the back of the cheque

Pay via Internet Banking by transferring the total amount due to Nationwide Building Society account: Sort Code 07-01-16, Account # 08670593 Please place your Club Name in the Payment Reference section.

Entries will be processed on receipt of payment. You will receive email confirmation that payment has been received and that your entry has been accepted. Calvert Gym Events www.calvertgymevents.com

Informed Consent Statement: BC Photographic will be present at the 2015 Quatro Cup and Images may be published by either the Organiser and/or Quatro Gymnastics and/or be forwarded by either party to third parties for publication. By entering this Competition there is acceptance that the participants may be photographed.