British Unicycle Convention 1997 Registration Form
1st - 3rd August 1997
Brockworth Sports Centre, Brockworth, Gloucester 

Name:		...............................................................................................................................................................................

Address:  	...............................................................................................................................................................................

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Phone: 	................................................   Fax: ........................................................  E-Mail:  ............................................................
If participant is under 18, give name of guardian who will be present at B.U.C 97.....................................

Registration Fee ( £15.00 before 1st June/ £18.00 from 1st June)          * ........ = £        .


Non-rider Registration:					£5.00 * ........ = £        .


T-Shirt: Medium (   ) or X-Large (   )			£8.00 * ........ = £        .    


					TOTAL				   £        .
Send completed application forms, cheque (payable to "GYROMANIACS") and SAE (if receipt required) to:

4th BRITISH UNICYCLE CONVENTION
c/o Geoff Luck
8 Edgeworth
Miserden Road
CHELTENHAM
Glos. GL51 6BW

For additional information - contact Geoff Luck Phone: (01242) 519832 Email: galuck@msn.com
or Ali Close Phone/Fax: (01452) 617825

The organisers of the 4th British Unicycle Convention remind all participants that Unicycling is a potentially hazardous activity. The organisers cannot accept responsibility for any personal injury which you may sustain or which you may cause to another person as a result of participation in any of the events. Additionally, the organisers are not responsible for theft or loss of, or damage to, personal property. Participants who are concerned about these eventualities are encouraged to take out their own personal insurance policy. All participants are required to sign the following statement:

I have read and understood the above paragraph and will take part in any event at my own risk. I know of no reason, medical or otherwise, why I should not attend the 4th British Unicycle Convention. I give permission for my name and/or picture to be used in any material, written or broadcast, associated with the event. 

Signature:				Date:				

(If under 18 - Age:	I give my consent for the above named to attend 4th British Unicycle Convention)
(Signature:				Date:			Relationship:		    )
I do NOT want this information held on computer (Y/N)

Questionnaire

It will help us to organise the convention if you could take time to complete the following questionnaire.

Lodging:

Will you be staying: in a tent/caravan/campervan? (Y/N)

Will you be requiring floor-space in Gym/hall/corridor? (Y/N)

Do you want details of nearby B&Bs, Hotels? (Y/N)

Note: There will be no camping or facilities on Thursday/Sunday nights.

Age Category: 

	Age   0-10	(   )	Age 16-21	(   )	 Age 30-39	(   )


	Age 11-15	(   )	Age 21-30	(   )	 Age 40-99	(   )
Sex:
 	Male (   )    Female  (   )
Wheel Size: 

	16"   (   )		20"   (   )		24"   (   )
Events:

Are you interested in completing in the following events? Note, the organisers reserve the right to change or combine the Age Groups and Categories according to demand. You are not committed to enter any events you indicate, but it will help the organisers to plan the convention. Entry on the day will also be possible.

Races 

	100m	(   )		1500m			(   )	Obstacle			(   )

	400m	(   )		Ultimate Wheel (30m)	(   )	Coasting			(   )

	800m	(   )		Walk the Wheel (30m)	(   )	Other	(..........................................)
Unicycle Hockey

Are you interested in competing in a "Serious" Tournament? (Y/N) Team Name: ....................................

Are you interested in competing in an "out-of-the-hat" Tournament? (Y/N)

Show

Are you interested in performing in the Renegade Show? (Y/N)

Artistic

Are you interested in demonstrating or participating in Artistic events? (Y/N)

Treasure Hunt

Are you interested in entering a Unicycle Treasure Hunt? (Y/N)

MUNI Expedition

Are you interested in entering a MUNI (off-road) expedition? (Y/N)

Unicycle Basketball

Are you interested in competing in a "Serious" Tournament? (Y/N) Team Name: ..................................

Are you interested in competing in an "out-of-the-hat" Tournament? (Y/N)

Other Events

What other events would you like to take part in ?


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Helping at the Convention

Would you like to help at the convention - Registration, Time-keeping, Refereeing, Badge-control, other?


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Would you be able to run a workshop? Please specify subject and state level .........................................................