Derbyshire Hockey Association Boys and Girls Junior sections 2011‐ 2012 Working with Schools Sports Association

U21 ‐ U19 – U17 – U15 – U14 – U13

Age Groups

PLEASE NOTE AGE REGULATIONS FOR TRIALISTS

IN ALL AGE GROUPS (SEE TRIAL PAGES)

DERBYSHIRE YOUTH HOCKEY PROGRAMME 2011-2012

DERBYSHIRE HOCKEY ASSOCIATION

BOYS AND GIRLS JUNIOR SECTIONS 2011-12

The new Hockey Board Single System for player development has been in place for 2 years. Initial results are very encouraging but it is a system that is still developing and we would welcome any feedback from coaches, teachers, parents or players.

There will be four Junior Development Centres (JDCs) within the county to which all hockey players are invited.

These will be held at /Foremark School, , , Community School and Sinfin Community School. Dates and times are in the booklet, except for Sinfin Community School which are to be confirmed.

The Centres will be led by Level 2 coaches and are the first rung on the ladder of the player pathway. The emphasis for the JDCs is skill development and players will have the opportunity to practise their skills in competition with neighbouring JDCs. Players will be assessed and possibly selected for progression to Junior Centres (JACs). These will run after Christmas. The JACs replace the County teams and will compete with JACs from other Counties. Those players not progressing to JACs will be encouraged to continue with school and club hockey and will be provided with information on local activity until the JDCs begin again the following season. It is important that all junior players attend a JDC to progress through the system. There is no direct entry to the JACs unless a player is returning from a higher level. There is also no entry to JRPC without first attending the JAC.

Junior players wishing to attend a JDC should choose the one closest and most convenient for them and complete the registration form (attached as a separate document). If the dates for a local JDC aren’t convenient players are free to travel to another centre for their coaching either within Derbyshire or in a neighbouring County/Region. Please note that due to numbers all U16 & U17 Boys and Girls will attend the JDC at Wirksworth.

There will also be School competitions at U11, U13, U14, U16 and U18. More information is provided later in the booklet.

All schools and clubs wishing to participate in competitions must complete the affiliation form enclosed at the back of this booklet to ensure that the organisers have up to date information and contact details.

JUNIOR DEVELOPMENT CENTRES

JDC – Anthony Gell

DATE AGE GROUP JUNIOR DEVELOPMENT CENTRES TIME

Tue 30 JDC U13 Girls Anthony Gell 9.30 – 4.00 Aug (1999) Tue 30 JDC U13 Boys Anthony Gell 9.30 – 4.00 Aug (1999)

Wed JDC U14 Girls 31st Anthony Gell 9.30 – 4.00 (1998) Aug Wed JDC U14 Boys 31st Anthony Gell 9.30 – 4.00 (1998) Aug Thur JDC U15 Girls Anthony Gell 9.30 – 4.00 1 Sept (1997) Thur 1 JDC U15 Boys Anthony Gell 9.30 – 4.00 Sept (1997) Fri 2 U16/U17 Girls Anthony Gell 9.30 – 4.00 Sept (1996/1995) Fri 2 U16/U17 Boys Anthony Gell 9.30 – 4.00 Sept (1996/1995) Sun 25 U13 Girls & Boys Anthony Gell 9.30- 11.00 Sept (1999)

Sun 25 U14 Girls & Boys 11.00- Anthony Gell Sept (1998) 12.30

Sun 25 U15 Girls & Boys Anthony Gell 1.00- 2.30 Sept (1997) U16/U17 Girls & Sun 25 Boys Anthony Gell 2.30-4.00 Sept (1996/1995)

JDC – Repton/Foremark

DATE AGE GROUP JUNIOR DEVELOPMENT CENTRE TIME

U13 Girls & TBC 9.30-12.30 Boys (1999) Sunday 28th Aug U14/ U15 13.00- Girls & Boys Repton School TBC 16.00 (1998/1997)

U13 Girls & Repton School TBC 9.30-12.30 Boys (1999) Sunday U14/ U15 4th Sept 13.00- Girls & Boys Repton School TBC 16.00 (1998/1997)

U14/ U15 Wednesday 18.00- Girls & Boys Repton School TBC 7th Sept 21.00 (1998/1997)

Sunday U13 Girls & 9.30- Repton School TBC 11th Sept Boys (1999) 12.30

U14/ U15 Wednesday 18.00- Girls & Boys Repton School TBC 14th Sept 21.00 (1998/1997)

Sunday U13 Girls & 9.30- 18th Repton School TBC Boys (1999) 12.30 September

JDC- -

DATE AGE GROUP JUNIOR DEVELOPMENT CENTRES TIME Sun 11th JDC U13 Boys 9.30 – Buxton Community School Sept (1999) 12.30pm

Sun 18th JDC U13 Boys 9.30 – Buxton Community School Sept (1999) 12.30pm

Sun 25 JDC U13 Boys 9.30 – Buxton Community School Sept (1999) 12.30pm

JDC- Sinfin Community School- Dates TBC

Contact: Chris Glover- 07717347767 Email: chrisglover@chellaston..sch.uk

FAQs

Which Centre Should I attend?

Please attend the Centre that is closest or most convenient for you. However, as the first coaching in Wirksworth will be a whole day delivery players from the South of the county may want to consider attending.

Which age group should I attend?

U11 are those children born in 2001 or after, U13 born 1999, U14 born 1998, U15 born 1997, U16 born 1996 and U17 born 1995.

What do I need to bring with me?

You need to bring the Registration form and payment for each session. A full day will be £15. The 3 hr sessions will be £7.50

You will also need a hockey stick, shin pads, a gum shield and a drink. If attending one of the whole day sessions a packed lunch will be needed. Remember to put in a waterproof and change of clothes if it looks like rain or sun block if it is going to be a sunny day!

Derbyshire Junior Academy Provisional Dates 2012

Please find the proposed dates for the Junior Academy Centres (JAC), which will be held at various venues throughout the County. Further details will be published before Christmas.

Some players will be moved into the Academy after assessment at the Junior Development Centres (JDC). Some of the dates listed will be competition with other JACs within the Region.

Please note that these dates also INCLUDE the competition dates as well as training and preparation sessions.

U13 JAC U14 JAC U15 JAC U16 JAC U17 JAC Sun 8th Jan Sun 8th Jan Sun 8th Jan Sun 8th Jan Sun 8th Jan Sun 29th Jan Sun 29th Jan Sun 29th Jan Sun 29th Jan Sun 29th Jan Sun 5th Feb Sun 5th Feb Sun 5th Feb Sun 5th Feb Sun 5th Feb Sun 12th Feb Sun 12th Feb Sun 12th Feb Sun 12th Feb Sun 12th Feb Sun 19th Feb Sun 19th Feb Sun 19th Feb Sun 19th Feb Sun 19th Feb Sun 26th Feb Sun 26th Feb Sun 26th Feb Sun 26th Feb Sun 26th Feb Sun 4th Sun 4th Sun 4th March Sun 4th March Sun 4th March March March Sun 11th Sun 11th Sun 11th March March March Sun 18th Sun 18th Sun 18th

March March March Sun 15th Sun 15th April Sun 15th April April Sun 22nd Sun 22nd Sun 22nd April Sun 22nd April Sun 22nd April April April Sun 29th Sun 29th Sun 29th April Sun 29th April Sun 29th April April April Sun 13th Sun 13th May Sun 13th May May

Parental Guidelines

• Do not force an unwilling young player to participate

• Encourage your child to learn the rules and play within them

• Set a good example by recognising fair play and applauding good

performances of all

• Never shout or belittle your child for poor performance

• Publicly accept coaches and umpires decisions

• Support the volunteer coaches

• Help your child recognise good performance, not just results

• Insist your child uses protective equipment such as mouth guards and shin pads

Contacts Derbyshire Hockey 2011 -12

Derbyshire Schools: Anke Kozuch 01332 345723

[email protected] or

[email protected]

Treasurer: Ann Lindsay 01773 746565

[email protected]

Single System Liaison: TBA

North Lead Co-ordinator Peter Danson 01298 24962

[email protected]

South Lead Co-ordinator Tony Collier 07866 090760

[email protected]

Central Lead Co-ordinator Helen Greer 07812 780520

[email protected]

Derby City Co-ordinator Chris Glover 01332 702502

[email protected]

Useful Websites http://www.derbyshire-hockey.org.uk http://www.englandhockey.co.uk http://www.derbyshiresport.co.uk http://www.midlands.singlesystem.co.uk/aboutus.php?sNav=findus

VENUES

Anthony Gell School Wirksworth Leisure Centre. (DE4 4DX) 01629 824717

Belper Hockey Club (DE56 1BA)

Foremark Hall (DE65 6EJ)

Repton School (DE65 6FH)

Shobnall Leisure Centre, Burton (DE14 2BB)

St Marys School, Newbold ,Chesterfield (S41 8AG)

St Benedict RC School, Duffield Rd, Darley Abbey, Derby. (DE22 1JD)

Sinfin Community School, Farmhouse Road, Sinfin, Derby (DE24 3AR)

Buxton Community School, College Road, Buxton (SK17 9EA) 01298 23122

Derbyshire Schools Hockey

Dawn Moore has been the lead person for schools hockey in Derbyshire for over twenty years. Her school has closed and she is no longer employed in a school. In light of this, a group of interested teachers have agreed to share the jobs to ensure continuity of provision and links with the adult association. The names and roles listed below should enable everyone to access what and who they need (if you are not on the list and would like to help please contact someone on the list).

Adult Association School Hockey Liaison Anke Kozuch

National Schools Competitions Stephen Wood and Boys and Girls U18, U16, U14, U13, U11 Martin Jones

Boys Open County Tournaments Richard Tinsley

Girls Open County Tournaments Karen Hayden and Patsy Ramsbottom

Hockey Booklet Production Dawn Moore

Come and Play Sessions Chris Glover Rich Tinsley Mandy Neville

People who have expressed an interest in supporting the above group:-

Hayley Marsden Rachel Pawnall Jones Alison Wildgoose Helen Greer Tessa Mitchell

ANY SCHOOL WISHING TO PLAY IN ANY EVENT NEEDS TO COMPLETE THE A4 AFFILIATION FORM. FOR EACH COMPETITION THERE IS A SEPERATE ENTRY FORM WHICH NEEDS RETURNING TO THE NAMED PERSON.

National Schools Outdoor Championships (Derbyshire Rounds)

Girls Events will be organised by Martin Jones/Stephen Wood and will be held at Repton School or - (please complete the entry reply slip at the back of the booklet) • U16 Girls Sept 22nd at Repton • U14 Girls Sept 29th at Trent • U18 Girls Oct 13th at Trent/ Repton TBC

Boys Events – To enter the Boys tournaments please register your interest with Martin Jones or Stephen Wood by completing the appropriate return slip at the back of this booklet. The competitions will be organised according to the number of entries.

To secure entry and obtain full details of the above please contact Martin Jones at [email protected] or Stephen Wood at [email protected] by the 10th September 2011.

National Schools Competitions for Younger Age Groups Schools wishing to enter Girls or Boys teams at the younger age groups (U11/ U13/ school minis girls and boys) should look at the England Hockey website: http://www.englandhockey.co.uk/ (centralised calendar) The Derbyshire rounds of these events will be held in the Spring term. Complete the appropriate return slip at the back of this booklet. To secure entry and obtain full details of the above please contact Martin Jones at [email protected] or Stephen Wood at [email protected] by the 12th January 2012.

National Schools Indoor Championships (Derbyshire Rounds) To register interest in Boys and Girls competitions, U16 and U18 please contact Stephen Wood at Trent College. Also complete the appropriate return slip at the back of this booklet.

Open County Tournaments Eleven aside, full pitch tournaments for Boys and Girls, U14 and U16. • 28th Feb U14 Girls Woodlands/ St Benedicts • 6th March U14 Boys • 13th March U16 Girls Woodlands/ St Benedicts • 20th March U16 Boys Tupton • 27th March date to catch up any matches postponed due to bad weather(Boys and Girls) • U19 girls- traditionally this has been hosted by Repton in the Spring if there are sufficient entries, it will run. Please complete the reply slip at the back of this booklet.

The boys events will be held at 3pm start and will be organised by Richard Tinsley from Tupton. The girls events will be held at Woodlands and St Benedicts 2pm start and will be organised by Patsy Ramsbottom from Qegs and Karen Hayden from Woodlands (all details TBC). Complete the appropriate return slip at the back of this booklet.

School’s Hockey 2011-2012

A lot of discussion has taken place and it would seem that most schools cannot honour every age group for boys and girls and that most schools would welcome the opportunity to get to know who else plays at their standard. Last season league opportunities were created but not utilised fully. This season nothing has been formally organised, but we have listed the names and contact details of schools so that you can initiate fixture conversations yourselves.

It is hoped that Chris Glover from Chellaston and other teacher/ hockey coaches will offer come and play sessions around the country during the season. These will be advertised when details have been confirmed.

Club Indoor Competition

To register interest in Clubs entering boys or girls U16 or U18 teams into National Competition please contact Andrew Hartley [email protected] by September 2011.

Club Mini’s Competitions

These are organised by adult volunteers at one of the hockey clubs in the Spring term.

Contact Information (There may be other schools who play that we are not aware of).

Contact School Contact Name contact email phone Anthony Gell Tessa Mitchel 01629 825577 Belper Anke Kozuch 01773 825281 [email protected]

Lyn Pope 01298 23122 [email protected] Buxton Clowne Louise (Heritage) 01246 810259 [email protected] Hockley

Chellaston Chris Glover 01332 702502 [email protected]

Derby High Sally Walton 01332 514267 Alison King 01332 840645 [email protected] Ecclesbourne Caroline 01332 840645 [email protected] Maunder Frederick [email protected] Julie Wright 01773 811737 Gent e.sch.uk Alison [email protected] Highfields Wildgoose Jane Allen 01629 581888 [email protected] Rachel Pownall- rachel.pownall- Lady Manners 01629 812671 Jones [email protected]

Mount St Paul Scott 01246 437144 [email protected] Marys Ruth Craven 01246 437144 [email protected] Newbold 01246 230550 Patsy [email protected] QEGs 01335 343685 Ramsbottom ch.uk Martin Jones [email protected] Repton Simon Clague [email protected] Sinfin Craig Morris 01332 270450 Springwell Angela Barnston 01246 473873 [email protected] St Benedicts 01332 557032

01246 201191 Daley Marsden [email protected] St Mary's ext 2121

Chesterfield 01246 201191 John Nash ext 2121 0115 849409/ Trent College Stephen Wood [email protected] 07545 489886

Tupton Hall Rich Tinsley 01246 863127 [email protected] Woodlands Karen Hayden 01332 551921 [email protected]

If you have any suggestions, comments or queries please share them with us by contacting Anke Kozuch [email protected] or Anne Morgan at [email protected] Hopefully we can engage more pupils in Hockey and pass them onto the thriving club structure that exists in Derbyshire.

DERBYSHIRE SCHOOLS HOCKEY 2011/12

ALL AFFILLIATION FEES FOR SCHOOLS ARE WAIVED THIS YEAR

However, we still require up to date details of all schools that play hockey so that we can pass relevant information onto Midlands and England Hockey as required.

Please send it to Ann Lindsay – [email protected]

Name of School:

Type of School:

School Address:

Post Code:

Member of staff responsible for hockey:

Role/Title:

Contact telephone number:

Contact email address:

School website address:

Total number on Roll:

Totals Playing Hockey Age Group Male Female

5 to 11

12 to 16

17 to 18

Would you like a Hockey Development YES/NO Officer to contact you?

PLAYER REGISTRATION FORM

All JDC/JAC players are required to complete this attendance registration form and bring it to their first training session.

All details will be kept in a secure database with access restricted to authorised county officers only.

SECTION 1: PLAYER CONTACT INFORMATION

FULL NAME

ADDRESS 1 DATE OF BIRTH

ADDRESS 2 HOME PHONE

TOWN MOBILE PHONE

POST CODE SCHOOL

EMAIL*

*PLEASE ENSURE THIS IS CLEARLY WRITTEN AND YOUR PARENT’S/GUARDIAN’S CURRENT IN USE EMAIL

SO WE CAN CONTACT YOU EASILY.

SECTION 2: MEDICAL INFORMATION & CONSENT

(To be completed by PARENT or GUARDIAN if under 18)

In case of emergency and as part of the county’s responsibility to its membership, ALL attendees are required to complete this medical information form as accurately as possible. Details will be held securely with access restricted to authorised county officers only.

NEXT OF KIN RELATIONSHIP MOBILE PHONE

DOCTORS NAME SURGERY PHONE

As far as you are aware, are you allergic to any drugs? (Please state)

Are you taking any regular medication? If so, for what reason?

Do you have any long-term illnesses or injuries?

Declaration: I consider myself (my son/daughter)* to be physically fit and capable of full participation and agree to notify the county of any changes to the medical information provided. Furthermore, in the event that I am injured I give my permission (for my son/daughter)* for the team managers/coaches appointed by the county to obtain emergency medical treatment on my behalf.

SIGNED DATE (RELATIONSHIP)

SECTION 3: UNDER 18 MEMBER CONSENT (**TO BE COMPLETED BY PARENT/GUARDIAN**)

It is a requirement of county policy that parental consent is provided for participation, transportation and photography. The county Code of Conduct and Safeguarding and Protecting Young People in Hockey Policy are available in the county handbook. Please delete as appropriate where indicated by a * then sign and date at the bottom. TRANSPORTATION: I consent to my son/daughter* travelling to venues for matches and training by transport provided by the county which may include travelling in other players private cars.

PHOTOGRAPHY: In some environments, particularly adult competition it is impossible to control photography by external parties, however, I am aware that there may be times that photographs and/or footage maybe taken during matches and training sessions by approved agents and/or officers of the county. Such images shall only be used for publicity/training purposes in accordance with the county Safeguarding and Protecting Young People in Hockey Policy and Photography Policy and give consent for my son/ daughter to feature in such photos/ images. I hereby only grant approved agents the right to use the images resulting from the photo/film shoots. This includes any reproductions or adaptations of the images for all general purposes ie local newspapers, local magazines, other promotional articles (inc. flyers) and the county website.

DETAILS: I consent to these details being passed onto Regional and National Associations

SIGNED DATE RELATIONSHIP SECTION 4: ETHNICITY & DISABILITY

Whilst it is not compulsory for the following sections to be completed, the paragraph below explains why this personal information is considered to be important.

Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have existed within sport particularly in relation to gender, race and disability. Sport England and England Hockey are committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of people in sports clubs, national governing bodies of sport and Sport England can identify any issues relating to under representation of different groups and can develop strategies to ensure that all people have the opportunity in the future to develop and progress in sport.

England Hockey requests this data from the county as part of The Single System JDC and JAC programme, and completing this data accurately enables the county to give an accurate picture to England Hockey on our membership.

PLEASE TICK THE BOX THAT BEST DESCRIBES YOUR ETHNICITY

ETHNICITY OF CLUB MEMBERS TICK BOX TICK BOX White British Asian or Asian British - Pakistani White Irish Asian or Asian British - Bangladeshi White Other Asian or Asian British – Other Mixed – White and Black Caribbean Black or Black British – Caribbean Mixed – White and Black African Black or Black British – African Mixed – White and Asian Black or Black British – Other Mixed – Other Chinese Asian or Asian British - Indian Other Ethnic Group

PLEASE TICK TO INDICATE ANY LEARNING OR PHYSICAL DISABILITIES

DISABILITY TICK BOX Deaf Visually impaired Hearing impaired Physical disability Learning disability Multiple disability

Please add any additional relevant information:

Keep This Send This National Schools National Schools Championship Girls U13 Championship Girls U13

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by end of Autumn Term 2011 Email:

National Schools Championships National School Championshps Girls U11 Girls U11

Please complete England Hockey entry Teacher: forms as well.

Entry Fee: £5 School:

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by end of Autumn Term 2011 Email:

Keep This Send This National Schools National Schools Championship Girls U14 Championship Girls U14

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

National Schools National Schools Championship Girls U16 Championship Girls U16

Please complete England Hockey entry Teacher: forms as well.

Entry Fee: £5 School:

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

National Schools National Schools Championship Girls U18 Championship Girls U18

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

County Open Tournament County Open Tournament Girls U19 Girls U19

Please complete England Hockey entry Teacher: forms as well.

Entry Fee: £5 School:

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

Keep This Send This

Keep This Send This

County Open Tournament County Open Tournament Girls U16 Girls U16

Entry Fee: covered by DSSA Teacher: Please complete this form to secure place and send to: School:

Karen Hayden Woodlands Community School Address: Blenheim Drive Allestree Derby Derbyshire DE22 2LW Post Code: Return by end of Autumn Term 2011 Tel:

Mob:

Email: County Open Tournament County Open Tournament Girls U14 Girls U14

Entry Fee: covered by DSSA Teacher:

Please complete this form to secure place and send to: School:

Karen Hayden Address: Woodlands Community School Blenheim Drive Allestree Derby Derbyshire DE22 2LW Post Code:

Tel:

Return by end of Autumn Term 2011 Mob:

Email:

Keep This Send This

National Schools National Schools Championship Boys U13 Championship Boys U13

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by end of Autumn Term 2011 Email:

National Schools Championships National School Championshps Boys U11 Boys U11

Please complete England Hockey entry Teacher: forms as well.

Entry Fee: £5 School:

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by end of Autumn Term 2011 Email:

Keep This Send This National Schools National Schools Championship Boys U14 Championship Boys U14

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

National Schools National Schools Championship Boys U16 Championship Boys U16

Please complete England Hockey entry Teacher: forms as well.

Entry Fee: £5 School:

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

Keep This Send This National Schools National Schools Championship Boys U18 Championship Boys U18

Please complete England Hockey entry Teacher: forms as well. School: Entry Fee: £5.00

Cheque payable to: Derbyshire Hockey Address: Association

Please complete this form to secure place in Derbyshire round and send to:

Martin Jones Post Code: Repton School Repton Tel: Derbyshire DE65 6FH Mob:

Return by: 14th September 2011 Email:

Keep This Send This County Open Tournament County Open Tournament Boys U16 Boys U16

Entry Fee: covered by DSSA Teacher: Please complete this form to secure place and send to: School:

Richard Tinsley PE Dept Address: Tupton Hall School, Station New Road, Old Tupton S42 6LG

Post Code: Return by end of Autumn Term 2011 Tel:

Mob:

Email: County Open Tournament County Open Tournament Boys U14 Boys U14

Entry Fee: covered by DSSA Teacher:

Please complete this form to secure place and send to: School:

Richard Tinsley Address: PE Dept Tupton hall School Station New Road, Old Tupton S42 6LG Post Code:

Tel: Return by end of Autumn Term 2011 Mob:

Email:

Keep This Send This

County Open Tournament County Open Tournament Boys U16 Boys U16

Entry Fee: covered by DSSA Teacher: Please complete this form to secure place and send to: School:

Richard Tinsley PE Dept Address: Tupton hall School Derbyshire

Return by end of Autumn Term 2011

Post Code:

Tel:

Mob:

Email: County Open Tournament County Open Tournament Boys U14 Boys U14

Entry Fee: covered by DSSA Teacher:

Please complete this form to secure place and send to: School:

Richard Tinsley Address: PE Dept Tupton hall School Derbyshire

Return by end of Autumn Term 2011 Post Code:

Tel:

Mob:

Email: