JERSEY PETANQUE ASSOCIATION

Summer League 2010

TEAM NAME     ______________________________________

TEAM CAPTAIN        ________________________________________

ADDRESS                     ______________________________________               

                                    ______________________________________

   

                                     ______________________________________

                                      _____________________________________

POST CODE        ______ ______                   TELEPHONE NUMBER  _______________

e-mail address –if applicable________________________________

HOME TERRAIN        ________________________________

PLAYER’S NAMES                         please circle club or independent

1.                                                                                                     JPC  CPC  ST Mary  IND

2.                                                                                                      JPC  CPC  ST Mary  IND

3.                                                                                                      JPC  CPC  ST Mary  IND

4.                                                                                                      JPC  CPC  ST Mary  IND

5.                                                                                                      JPC  CPC  ST Mary  IND

6.                                                                                                      JPC  CPC  ST Mary  IND

7.                                                                                                      JPC  CPC  ST Mary  IND

8.                                                                                                      JPC  CPC  ST Mary  IND

9.                                                                                                      JPC  CPC  ST Mary  IND

10.                                                                                                    JPC  CPC  ST Mary  IND

 

Entry fee per team = £2 per player. (i.e. 4 members £8, 10 members £20)

Please make cheques payable to JPA.

Please send completed form and entry fee BY 28th March 2010

To the Competitions Officer of the JPA:

Mick Cotillard, 2 Vue de L’Eglise, La Route de Ste Marie, St Mary JE3 3DB.