Recognised by Sport England as the Governing Body for Pool in England

2022 EPA Tour Application

To register your interest in joining any EPA Tour, please fill out and submit this web form. Sending this form only registers your interest and does not guarantee a place on a tour until after your application has been approved and your deposit has been received.

Payment Details …

Southern Senior's & Wheelchair Tours:

• EPA Sort Code: 20-84-58
• EPA Account No: 90678430
• All deposits due within 3 days of registration please.
• Southern Senior's Tour - Deposit: £70 secures your place, followed by the remaining £180 at or before Event 1.
• Wheelchair Tour - Deposit: £25 secures your place, followed by three payments of £50, each one a week before each of the first 3 events.

Junior Tours (Northern and Southern tours available):

• EPA Sort Code: 20-84-58
• EPA Account No: 10341010
• All deposits due within 3 days of registration please.
• Junior Tours - Fee: £30 per event.

Name:

Tour:
Select … Northern Junior's Southern Senior's Southern Junior's Wheelchair

Home Address 1:

Home Address 2:

Home Town:

Home County:
Select … Bedfordshire Berkshire Bristol Buckinghamshire Cambridgeshire Cheshire Cleveland Cornwall Cumbria Derbyshire Devon Dorset Durham East Yorkshire Essex Gloucestershire Greater London Greater Manchester Hampshire Herefordshire Hertfordshire Humberside Isle of Wight Kent Lancashire Leicestershire Lincolnshire Merseyside Norfolk North Yorkshire Northamptonshire Northumberland Nottinghamshire Oxfordshire Rutland Shropshire Somerset South Yorkshire Staffordshire Suffolk Surrey Sussex Tyne & Wear Warwickshire West Midlands West Yorkshire Wiltshire Worcestershire

Postcode:

Mobile Phone No:

Email:

  Notes …

  Enter your Email address here please.

  If you are applying for a Junior player, this must be the email address of the player's parent or guardian.

Confirm Email:

Junior's Email:

  Notes …

  These field is only needed where the player is a Junior.

  Here, you can enter the player's own Email address.

Gender:
Select … Female Male

Date of Birth:

Day … 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month … Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Year … 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924

Shirt Size:
Select … Adult XS Adult S Adult M Adult L Adult XL Adult 2XL Adult 3XL Adult 4XL

Comments:

  Notes …

  Anything else that you would like to add to this registration form.

Confirmation …
I confirm that I understand that submitting this form does not guarantee entry into the event.
I understand that a deposit payment will need to be received before this application for the Tour is accepted.
I confirm that I am the parent/guardian where the player is a Junior in the year of the tour.

 
Type the security text above (numbers and letters):

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