TIP2015 .pdf



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Dear sport friends,

As every year, we organise the International Tournament of Pas-de-Calais of Canoe Polo on April 25th
and 26th 2015.
This 16th edition will be organised in the city of Saint-Omer (north of France). You will find the entry
form and information about meals and accommodations (free camping).

Best regards,

Philippe LALLIOT
President of Saint-Omer club and CDCK 62

1

ENTRY FORM
This form is to be fulfil before 5th April 2015 !
TEAM INFORMAT ION

CONTACT DETAILS
Team name
Team leader
Address
Post Code

City

Country
Email

Phone

CATEGORY & REGISTRATION FEES



Dames (if under 6 teams, dames 80 € per team
will be play in Division 2)
Division 1 (12 teams maxi)
80 € per team



Division 2 (18 teams maxi)

80 € per team



U16

40 € per team



2

CATERING RATES
“A la carte” prices

Number of people

Saturday breakfast

Unit price

TOTAL

4,5 €

Saturday lunch

8€

Saturday dinner

12 €

Sunday breakfast

4,5 €

Sunday lunch

6,5 €
TOTAL

“All inclusive” formula
All meals

30 €

TEAM COMPOSITION
Club name
Number

SURNAME

NAME

Birth date

License Number

3

REFEREE

SURNAME

NAME

QUALIFICATIONS

MISCELLANEOUS
Camping : ☐YES

☐NO

4

GENERAL INFORMATION

PRICES MONEY

Division 1

Division 2

Dames

Winner

150 €

Finalist

100 €

3rd place

50 €

Winner

100 €

Finalist

70 €

3rd place

40 €

Winner

100 €

Finalist

70 €

3rd place

40 €

BANK DETAILS
Registrations will be definitely taken into account on receiving of the regulation.
Bank : CL Saint-Omer (06034)
Name of account holder : CDCK 62
IBAN : FR63 3000 2060 3400 0011 7029 A71
BIC : CRLYFRPP

CONTACT
Email : tipcd62@aol.com

5


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