ENGLISH DEAF SQUASH ASSOCIATION'S

CLOSED CHAMPIONSHIPS

SUNDAY 8th SEPTEMBER 2013

11.00am to 6.00pm

@ Bishop Stortford Squash Club,

http://www.stortfordsquash.co.uk/

Silver Leys, Hadham Road, Bishop Stortford, HERTS, CM23 2QE

Subject to entry numbers there will be a separate

MEN'S and WOMEN'S CLOSED CHAMPIONSHIPS

Hearing loss as defined by CISS

(3 tone frequency average of 500; 1000 and 2000 Hertz, ISO 1964 Standard). 

No hearing aid, or similar aid (i.e Cochlear Implant)  shall be worn throughout the Championships).

ENTRY FEES: £16.00 for Non-England Squash Member
£14.00 for England Squash Member

Please contact Simon Jones for more information. Email: SimonJones@PickEverard.co.uk

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Entry Form: The Closing date for entries Monday 26th August 2013

Print Name ..........................................................................................Signature:.............................................................................................................................

Address:....................................................................................................................................................................................................................................................... ...........................................................................................................................................................................................................................................................................

ES membership No:............................................... Please circle as appropriate    £14      £16

Contact details please Email address: minicom/ mobile add as appropriate

..................................................................................................................................................................................................................................................................................

If you are under 18 please ask for your a signature of your parents or legal guardian.

Please make cheque payable to       English  Deaf     Squash        Association & Send           completed forms        to:             Simon                    Jones         19 Coton Park Drive, Rugby,  Warwickshire. CV23 0WL

Please pass a copy of this onto anyone you know who may be interested!