UK Hunt Team Chase

Supported by ROBINSONS MAZDA of LEICESTER

ENTRY FORM

Name of Team Captain:

Address for correspondence:

Telephone:

Name of Hunt:

Name of Team: Must include name of Hunt in front (eg. Fernie Friendlies)

Name of rider:	Name of horse:
Team Captain

All participants must carry Third Party Liability Insurance for not less than £5 million which is available through membership of the Countryside Alliance. It is also strongly recommended that all participants have Personal Accident Insurance.

MASTER'S CERTIFICATE

I hereby CERTIFY that ALL members of the team named above are SUBSCRIBERS to the ................................................ Hunt and each has hunted with that Hunt on at least 5 occasions during the current season.

Name of Master of Hunt (please print):

Signature of Master:

Date:

Please return the entry form with CHEQUE for £68.00 (payable to Fernie Team Chase) by Saturday 20th March 2004 to the Hon. Secretary:-

Katie Harpham, East Norton Hall, East Norton, Leicestershire LE7 9XD.

Penalty for late entries £10 extra per team.

Team times will be advertised on www.teamchasing.co.uk prior to the event

Please write any items of interest for the use of the commentator on the back of the entry form.