The Hinckley And Rugby Building Society Challenge
On 107.1 Rugby FM

ENTRY FORM

Print this form out (right click, print) then complete this form and return
to 107.1 Rugby FM.

Read the full rules, available here

Name of school, college, organisation …………………………………………………

Name of Team Captain …………………………………………………

Name of Contestant (2) …………………………………………………

Name of Contestant (3) …………………………………………………

Name of Contestant (4) …………………………………………………

Address for correspondence ………………………………...…………

……………………………………............................................……………

……………………………………............................................……………

Telephone contact number for Captain …………………………………………………

DECLARATION
We have read the competition entry rules and would like to participate in the Hinckley and Rugby Building Society Challenge on 107.1 Rugby FM. All contestants are eligible to participate in the Challenge and are Year 12 students (or equivalent).

……………………………………Captain

………………………………Contestant 2

………………………………Contestant 3

………………………………Contestant 4

We agree to the above team representing our school / college / organisation in the Hinckley and Rugby Building Society Challenge on 107.1 Rugby FM:

Signed………………………………………………

Name ………………………………...............…..

on behalf of

………………………………………………………………………Organisation