1 May 2008 - Novice Fishing Matches application form
tSankeyValley Park
Heat 1 28 July Heat 2 1 August Final 8 August
Arrival 9am Fishing 10am – 3pm Weigh in 3pm onwards Open to 10 – 17 year olds. 10s and under must be accompanied by an adult at all times.
For your chance to take part in Warrington’s novice angling
tournament please fill out the application below and ask your
parents to complete the consent form on the back.
Full Name:
Age:
Address:
Postcode:
Telephone Number:
Date of Birth: Age:
Preferred Heat date:
Please return your fully completed forms by Monday 14 July to:
Positive Futures
Pyramid and Parr Hall
Palmyra Square South
Warrington
WA1 1BL
For information about the tournament contactWarrington
Community Safety Partnership on 01244 613852 (answer phone)
with your enquiry, name and contact details.
Important information
If you have you own fishing tackle please bring it with you. Only
barbless hooks must be used.
Places will be allocated on a first come first served basis. 60 places
are available at each Heat with the winners going through to the
Final. Please bring your confirmation letter on the day.
Parents are welcome to attend. Those aged 10 and under must be
accompanied at all times.
Please dress for the weather conditions of the day and bring sun
screen.
Please bring your own refreshments.
Consent Form
To be completed by parent or guardian
Name of Young Person:
Address:
Postcode:
Date of Birth: Age:
Your Mobile/contact number :
Parental Responsibility
I (name) of (address)
has parental responsibility (see above paragraph) for (name of young person)
and:
1. Consent to him/her taking part in the fishing day (s).
2. Consent to him/her receiving First Aid treatment when necessary.
3. I confirm that he/she* does/does not* suffer from any allergy/illness*. Please provide details of any allergies of
which you are aware. (* Please delete as appropriate)
(Please continue on a separate sheet if necessary.)
4. Consent to the possibility of my child being photographed / recorded on video which may be used in
presentations and publicity material: Yes / No*
(* Please delete as appropriate)
5. I understand that all information will be protected by the principles of the Data Protection Acts 1984 and 1998.
If there is anything else concerning this child that you thinkmay be relevant to the activity then please tell us:
Does your child require an accessible angling peg? Yes/No* (* Please delete as appropriate)
Sign Date
Supported by Dallam & District Community Angling Group