Pagoda entry form 2016 - The Royal Richmond Archery Club

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17th ANNUAL RECORD STATUS PAGODA SHOOT
SUNDAY 10th APRIL 2016
Old Deer Park, 187 Kew Road, Richmond, Surrey, TW9 2AZ
Awards:
Refreshments:
Closing Date:
Entry Fees:
Entries:
Assembly:
10:00 am
Sighters:
10:15 am
Judges:
Kevin Thurlow, Netta Bridle, Andrew Trimble, additional tbc
Round:
ALBION/WINDSOR (there are no junior distances)
Lady Paramount: Germaine Plunkett
Rules: Dress regulations in accordance with GNAS and Club colours. GNAS cards
must be available for inspection at check-in. All competitors are liable for drugtesting. A refusal will be treated as a positive result. Juniors please see reverse
sheet.
1st/2nd/3rd in Recurve, Compound, Longbow and Barebow categories for Ladies,
Gents, Junior Girls and Junior Boys, plus the Judges’ Award for Albion Senior
Recurve Team.
Hot and cold drinks and food will be available throughout the day in the Pavilion.
Friday 25th March 2016
Places will be allocated on a first come/first serve basis. If there is a waiting list,
entries will be placed in order of the date received.
£8 adults, £7 juniors & senior citizens
Payment is by cheque only made payable to: Royal Richmond Archery Club.
Please select how you would like to receive the target list and results on the entry
form. Provide your email on the form or include 2 large SAEs with your entry.
Please send entry forms, cheques and SAEs to:
Alan Want, 7 Lauderdale Drive, Petersham, Richmond, Surrey TW10 7BS
E: alanwant@blueyonder.co.uk T: 020 8948 8574
Photography and Publicity: The organisers reserve the right to permit photography subject to the
usual GNAS Rules on control of photography and to allow publication of pictures in any medium subject
only to the condition that neither photographs nor accompanying descriptions of juniors, or other
vulnerable individuals, may include name, club or other identifying information.
Target lists/results will be sent by Marshall Baron (m.baron@btinternet.com) via email unless
otherwise requested
Surname
First
name
Club
GNAS
No.
Round
Gent/
Lady
Boy/Girl
Bow
R/C/
LB/BB
Senior
Citizen
60 F/
65 M
Wheel
chair
Total £…………..
Sender’s Name and Address………………………………………………………………………………………………………
…………………………………………………………………………………………………………Tel:…………………
I enclose my cheque to Royal Richmond Archery Club for………………………..
Target lists/results will be sent by email unless otherwise requested
Fee
Pagoda Shoot Map
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Please note that there are separate Albion and Windsor check in points.
Some of the Albion targets may be on the Windsor field, but you will still
need to check in on the Albion side.
If you and your child/spouse/partner are shooting different rounds, please
let us know and we will try to put you on the same field.
There is limited disabled parking at Old Deer Park, which is reserved for
blue badge holders only.
……………………………………………………………………………………………………………………
JUNIORS: PARENTAL CONSENT SECTION
1. Mandatory drug testing. As your son/daughter has requested an entry to a Record Status Archery
Tournament, we should point out that under GNAS Rules they may be requested to provide a sample for drug
testing purposing by a “Doping Control Official” appointed by GNAS. Failure to comply must, under current
rules, be treated as a positive result. Please complete the form below for each junior to signify your acceptance
of this condition of entry.
2. Photography and publicity. The form also allows you to indicate that you will allow publication of
photographs of the named individual with identifying details, to avoid the need to consult you further. This is
not a condition of entry and if you make no declaration on the form, or declare that you do not give permission,
any such publication will require your prior consent.
NAME & DATE OF TOURNAMENT:……………………………………………………………………………………
NAME OF CLUB…………………………………………………………………………………………………………..
1. Mandatory drug testing for record status events.
I…………………………… agree to my son/daughter providing a sample for drug testing if required by a Doping
Control Officer.
Please note that it is mandatory to complete this section of the declaration, which is a condition of
entry
2. Photography (optional – please see above)
I have read and understood the conditions on the covering page of the entry form relating to photography and
publicity. I do/do not* give permission for publication of names or other identifying details with published
photographs of the above Junior (*delete as applicable).
Parent’s or Guardian’s Signature……………………………………………………….. Date……………………………
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