PENTATHLON GB DEVELOPMENT DAY and

PENTATHLON GB DEVELOPMENT DAY and Shoot / Swim Competition
SATURDAY 24th JANUARY 2015
Venue: ASHFORD PREP SCHOOL, GREAT CHART, ASHFORD, KENT TN23 3DJ
Time: 9.30 – 16.30
The morning will comprise of coaching in swimming, shooting and fencing followed in the afternoon by a
Static Shoot and Swim Competition
Classes
U11
U13
U15
U17
U19
Swim Distance
40m
40m
100m
200m
200m
Static Shoot
10 shot
10 shot
10 shot
10 shot
10 shot
Competitors are welcome to enter the competition ONLY providing they have a VALID PGB Shoot
certificate
Name:
Home Address:
Tel. Numbers:
Email address:
DOB:
Male / Female:
School you attend:
Pentathlon GB member:
Yes / No
If YES, PGB Membership no:
Have you fenced before?
Yes / No
Have you shot before?
Yes / No
PGB Shoot certificate?
Yes / No
Please circle which disciplines you
would like coaching in:
To enter the competition the Shoot
coaching is a necessity if you do NOT
have a valid PGB shoot certificate
Swim
Shoot
Fence
Please note any medical and / or dietary requirements below:
Medical Conditions:
Allergies:
I give my permission for my child to enter the above Training Day.
I give permission for press and presentation photographs to be used for promotion of future events.
Parent/Guardian signature:
Date:
Relationship:
Emergency contact number:
Cost: £25 or £15 for Ashford School pupils for whole day
Cost: £10 for competition only with VALID PGB shoot certificate
Please return this form along with your payment (cheques made payable to Pentathlon GB) to:
Mrs Miranda Palmer, 2 Well House Cottages, Shottenden, Canterbury, Kent. CT4 8HR
miranda.palmer@pentathlongb.org
07855 957924