First Name:*

Last Name:*

Email:*

Club :*

Please select Abbey Bowmen Aim4Sport Archery Club Berkhamsted Celtic Harmony Archery Chiltern Archers Elswood Bowmen Green Dragon Bowmen Herftford Company of Archers Hemel Hempstead Archers Hinxworth Archery Club Howard Bowmen Rickmansworth Archery Club Royston Heath Archery Club Stortford Archery Club Wheathampstead Kestrel Sports Club

Age Group:*

Senior Junior

 (Junior archers: email, phone & address details must be for their parent or guardian)

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Address :*

Phone 1:

Phone 2:

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Juniors Only:

Date of Birth:

Parent or Guardian Name :

Consent given :

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I understand that selection will be undertaken according to the HAA County Teams Selection Policy, it is my responsibility for the submission of scores to the selectors for consideration and confirm that the details given above are correct.*

CAPTCHA Code:*

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