Entry form

Name*

First

Last

Address*

Street Address Street Address Line 2 Parish Post Code

Email*

Mobile

Date of birth (if under 18)

Name of club you are a member of

Divisions entered *Maximum of two*

Please advise if you wish to be considered for the Channel Island team for the British Cup to be held in Jersey on 25/26 May 2019*

Please advise if you wish to be considered for the Channel Island team for Eurosurf 2019; venue and date TBC.*

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