English Ski Council

BOOKING FORM

SSE ROLLER SKI EVENTS 2017

Name : …………………………………………. Age (if under 18): …… Club : …………………………….

Address : ……………………………………. …………………. Tel: ………………………………… : …………………………………………………………………… : ……………………………………. ……………………………. E-mail : ……………………………. : ……………………………………………………………………

Skiing level and experience (including current SSE proficiency level, if known) …………………………………………………………………………………………………………… ……………………………………………………………………………………………………………

I would like to do: Advanced Intermediate Beginner/Improver Instructor

I would like to be assessed for an SSE Proficiency Award Yes/No

I would like to take part in the following event: (PLEASE BOOK EACH EVENT SEPARATELY THROUGH THE DESIGNATED ORGANISER):

Please tick choice of event and enter amount (Please refer to course information for late or day booking fees.)

Hillingdon Cycle Circuit, Hayes, 24th - 25th June £110 (booking after 9th June £120) .………….

Hetton Lyons, Co Durham 19th – 20tht August £110 (booking after 6th August £120) ……………

Salt Ayre, Lancaster, 30th Sept - 1st October £110 (booking after 15th September £120) ……………

Day Membership of SSE @ £10 per weekend. (Please refer to course information) ……………

Equipment hire: I would like to hire the following, at £10 per weekend, per set or part set …………… Roller skis skate Roller skis classic Boots, size …………... Poles, your height …………... Total ……………

Hotels (shared twin room to be paid on arrival) Premier Inn, Uxbridge Road, Hayes Fri 23rd June Yes/No, Sat 24th June Yes/No Premier Inn, Durham East for Hetton Lyons Course Fri 18th Aug Yes/No, Sat 19th Aug Yes/No Premier Inn, Lancaster for the Lancaster Course Fri 29th Sept Yes/No, Sat 30th Sept Yes/No

Signed …………………………………………………………………. Date ………………………………………

Please return this form, with payment (cheques payable to SNOWSPORT ENGLAND), to the designated organiser:

Hillingdon Cycle Circuit, Hayes, 24th - 25th June 2017 (Project Code: 17NOROHAY02) Gerard Evans, 44 York Road, Brentford, Middlesex TW8 0QP Tel 07732 038587 [email protected]

Hetton Lyons, Co Durham 19-20th August 2017 (Project Code: 17NOROLYO03) Alan Mitcham, 5 The Rise, Ponteland, Northumberland, NE20 9LJ. Tel. 01661 823960 [email protected]

Lancaster, 30th Sept -1st October 2017 (Project Code: 17NOROLAN04) Colin Lee, 10 Ash Close, Ormskirk, Lancashire, L39 3PB, Tel 0781 413 1607 [email protected]

or: to pay electronically, contact the Snowsport England Office (Tel 01509 232323) for SSE bank details and quote the course project code to pay by credit card, contact the Snowsport England Office quoting the course project code nb If you pay directly to the SSE office, please ensure that the course organiser receives your booking form.