Event Registration Fours

The event will be held in Bournemouth on 30th & 31st May 2009.

Safeguards under the data protection act will apply to all information provided

University: *

Athletic Union Information

AU Contact Name: *

AU Telephone: *

Player 1 Details

First Name: *

Surname: *

Date of Birth: *

E-mail: *

Player 2 Details

First Name: *

Surname: *

Date of Birth: *

E-mail: *

Player 3 Details

First Name: *

Surname: *

Date of Birth: *

E-mail: *

Player 4 Details

First Name: *

Surname: *

Date of Birth: *

E-mail: *

Team Contact Details

Please specify at least one telephone number and an e-maill address

First Name: *

Surname: *

Address Line 1: *

Address Line 2:

Address Line 3:

Town:

County:

Postcode: *

E-mail: *

Tel Home:

Mobile:

I confirm that the above details are correct, I am the representative of the above stated team and I have read, understood and agree to abide by Beach Volleyball Student Cup Rules. *

I can confirm that I have permission from an authorised representative of the Athletic Union of the above mentioned University and they have confirmed that the above students are eligible to represent the University in the Beach Volleyball Student Cup. * *

Please Note: Fields marked with an * are mandatory and need to be completed.