Team Chasing - Atherstone 2004

	Forename	Surname	Date of Birth If under 16 years	Horse	Hunt
1. Red	........................	........................	........................	........................	........................
2. Yellow	........................	........................	........................	........................	........................
3. Blue	........................	........................	........................	........................	........................
4. White	........................	........................	........................	........................	........................

BIB COLOUR MUST BE ON COURSE AS IN THE PROGRAM.
Please tick the appropriate class and the special prizes for which your team is eligible.

CLASS

SPECIAL PRIZES

Class 1 Cubhunters - Bogey Time

Class 2 Foxhunters - Open

Class 3 Sportmans - Intermediate

Class 1

Class 3

Atherstone

Adjacent Hunt

Young Riders

Riding Club/School

Atherstone
Adjacent Hunts

These eligibility's will be re-checked at time of declaration.

I enclose a cheque for £ ............ (Please make cheques payable to Atherstone Hunt Cross Country Team Event)
Entry Fees: Class 1 - £40.00, Class 2 - £80.00 (+ £20 on declaration), Class 3 - £56.00.
NO ENTRY WILL BE ACCEPTED WITHOUT THE CORRECT ENTRY FEE.
On behalf of the team, I agree to abide by the rules and conditions in the Schedule.
BLOCK CAPITALS PLEASE.

Team Captain...................................................................................Date....................................

Address......................................................................................................................................

..................................................................................................................................................

Signature..................................................I heard of this event from............................................

All enquiries and entries to:
Donna Nobes, 38 Church Road, Ryton-on-Dunsmore, Coventry CV8 3ET. 02476 307309
Reminder: Entries close Monday 20th September 2004. Late entries only accepted subject to availability and an extra charge.

£10.00 deposit for numbers will be payable on declaration.

ATHERSTONE HUNT
TEAM CHASE
HIGHFIELD HOUSE FARM
SMORRALL LANE, BEDWORTH, WARWICKSHIRE
On SUNDAY 26TH SEPTEMBER 2004.

ENTRY FORM cont.

Additional information for the commentator.
(Optional).

Rider 1 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 2 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 3 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 4 name	:
Nickname	:
Age	:
Hobbies	:
Other	:

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To view and print page 2 of the entry form in a printer friendly format Click Here.