Fenland Sport Stars of the Future Entry Form

Name:

Date of Birth:

Email address:

Contact telephone number:

Address:

Postcode:

NGB Contact Information:

Sports involved in:

Level:

The sports centre/facilities I am most likely to make use of are:

I agree to provide supporting evidence of my involvement in sport to the required level if my application is successful (governing body endorsement if possible) Please state Yes or No:

In return for the benefits of Fenland’s Sports Stars of the Future, I agree to abide by the scheme conditions and to support or attend promotional activities and events if I am able. By attending these I also give permission for my photograph to be taken and used. Please state Yes or No:

Participant's Name:

Date:

Parent or Guardian's Name:

Date:

Contact Number: