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 [email protected] 07855 957924