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

2024 EPA Senior Tours 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 …

2024 Senior's Tours:

• EPA Sort Code: 20-84-58
• EPA Account No: 90678430
• All payments due within 3 days of registration please.
• 5 Events - Click here for the event programme, venues and dates.
• All personal and/or individual event purchases will attract a £5 administration charge.
• Individual event purchases due before the draw date (i.e. 1 week before) each event.

First Name:

Last Name:

Tour:
2024 Southern Senior's

I am Registering for:

Event 4

Event 5

Only select this option below if you are buying a place (or places) from another player and not directly from the EPA … I am Buying from:

EPA Registered County:
Select … I'm not EPA Registered Bedfordshire - R4 Berkshire - R7 Bristol - R6 Cambridgeshire - R4 Cheshire - R2 Cleveland - R1 Cornwall - R6 Cumbria - R2 Derbyshire - R8 Devon - R6 Dorset - R6 Durham - R1 East Yorkshire - R1 Essex - R4 Gloucestershire - R5 Greater London - R7 Greater Manchester - R2 Hampshire - R7 Herefordshire - R3 Hertfordshire - R4 Humberside - R8 Kent - R7 Lancashire - R2 Leicestershire - R8 Lincolnshire - R8 Merseyside - R2 Norfolk - R4 North Yorkshire - R1 Northamptonshire - R5 Northumberland - R1 Nottinghamshire - R8 Oxfordshire - R5 Shropshire - R3 Somerset - R6 South Yorkshire - R8 Staffordshire - R3 Suffolk - R4 Surrey - R7 Sussex - R7 Tyne & Wear - R1 Warwickshire - R5 West Midlands - R3 West Yorkshire - R2 Wiltshire - R5 Worcestershire - R3

Mobile Phone No:

Email:

Confirm Email:

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 … 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:

  Notes …

  Shirts are £30 each and will be added to your bill if selected.

  These will be issued at events when they are ready.

  The shirts are personalised with your full name on the right chest and your nickname on the back.

  Time to manufacture is about 3 weeks, so please consider this when adding a shirt to your order.

Select … I don't want a shirt 34" Chest (XS) + £30 36" Chest (S) + £30 38" Chest (S/M) + £30 40" Chest (M) + £30 42" Chest (M/L) + £30 44" Chest (L) + £30 46" Chest (L/XL) + £30 48" Chest (XL) + £30 50" Chest (XL/2XL) + £30 52" Chest (2XL) + £30 54" Chest (2XL/3XL) + £30 56" Chest (3XL) + £30 58" Chest (3XL/4XL) + £30 60" Chest (4XL/5XL) + £30

Nickname:

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.

 
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