National League Entry Form 2022 - Division 1 Women Extension
This form has been re-opened for Div 1 Women entries only.

The league will be held across one weekend on the 30-31st July hosted by Manchester Wildcats, including camping (up to 6 per team covered for camping).

£200 Entry fee

Entry deadline (including payment): Midnight June 24th

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Team Name *
BC Club Affiliation Number *
Nearest City to Your Club *
Club contact name *
Club contact email address *
Team contact name *
Team contact email address *
Is this a re-entry or new (proposed) entry? *
Please name your suitably qualified referee (Please note that your referee cannot be named for multiple teams) *
Confirm that your named referee's qualification is suitable for the league entered (Please note that the referee listings are down at present and being updated) *
Required
Payment details - Please pay the full entry fee.
*NEW ACCOUNT* Payment is to be made online to:
Bank:                      Barclays
Name:                    BC Canoe Polo Committee
Account number: 90923427
Sort code:             20-63-33

Full payment with entry please.
Reference codes to be used for BACS payments are below. These should be used in conjunction with an abbreviation of your team/club. To avoid confusion please enter your reference used into the box below. If you are entering multiple teams from the same club they should have separate payments and unique payment references.

Prem = P
Div1 = 1
Div2 North = 2N
Div2 South = 2S
Div3 North = 3N
Div3 Central = 3 C
Div 3 South West = 3SW
Div 3 South East = 3SE

Prem Women = PW
Div1 Women = 1W
Div2 Women North = 2NW
Div2 Women South = 2SW

e.g. Two Salford canoe club teams, Salford A & Salford B, being entered into div 2 North could have payment references of SCCA 2N and SCCB 2N

BACS reference for your team *
Would you, or anyone in your team be interested in volunteering as a vital league organiser (on the day set-up, score entry etc)? *
Required
Could you provide an outdoor venue for committee hire either this season or in the future? If so, please provide the location and the number of pitches below as well as any insight you have on camping options on site/nearby!
GDPR
To run our league system effectively it is vital that we can communicate with all teams.  For this purpose we collect and hold your email address, National Federation number and other contact information you may supply as part of your entry.  Your information will be shared with league organisers, and other officials of our sport, but never passed to third parties for marketing purposes.  In line with the requirements of GDPR should you wish to request further details, or request deletion of the information we hold on you, please contact secretary@canoepolo.org.uk.
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