THE 1ST NSCI OPEN SQUASH CHAMPIONSHIP 2011
(November 20 to 24, 2011)

ENTRY FORM
(Entries close on 10th November, 2011 at 6 p.m.)

Name               : _____________________________________________________

Address           : _____________________________________________________

                          _____________________________________________________

Tel. no. : ______________________  Email :  ________________________  

Date of Birth     : _____________________________________________________

(attach proof)  

I wish to enter the following age category (please tick only one)

Age Group Girls  Boys
UNDER 19 YEARS
UNDER 17 YEARS
UNDER 15 YEARS
UNDER 13 YEARS
UNDER 11 YEARS
OPEN UNDER 9 YEARS
DOUBLES OPEN
MENS
WOMENS
PROFESSIONALS

I hereby declare that I am a member of ___________________________________ Club / Association.  

I agree to abide by the rules of the tournament and the code of conduct.  

Signature :         

Date :