2012 Knock Out Cup
PERSONAL DETAILS (for the Team Captain to complete)
Name ………………………………………………………………………………
Address …………………………………………………………………………...
………………………………………………………………………………………
………………………………………………Postcode …………………………
Contact Telephone Number …………………………………………………..
e-mail address …………………………………………………………………..
TEAM DETAILS
Team Name ………………………………………………………………………
Home Terrain ……………………………………………………………………
Player 1 ………………………………………………………………… (Captain)
Player 2 ……………………………………………………………………………
Player 3 ……………………………………………………………………………
Player 4 ……………………………………………………………………………
Player 5 ……………………………………………………………………………
Player 6 ……………………………………………………………………………
Please note that all entry forms must be submitted to:
The Competitions Officer of the J P A
Mick Cotillard, 2 Vue de L’Eglise, La Route de Ste Marie, St Mary JE3 3DB.
by no later than Sunday 11th March 2012.
Please enclose entry of £3 per team – cheques payable to JPA.