Meynell & South Staffs. Hunt Cross Country Team Chase 2004

ENTRY FORM 12th September 2004

CLASS 1	OPEN PAIRS (both to count) to ride to an undisclosed Optimum Time ENTRY FEE £30.00 per pair   Late Entries £40.00
CLASS 2	CUB HUNTER (Novice) teams to consist of three or four members, three fastest to count ENTRY FEE £60.00 per team   Late entries £80.00
CLASS 3	OPEN ALL COMERS *The Goring Hotel Open Qualifer Series* Teams to consist of three or four members, fastest three to count. ENTRY FEE £80.00 per team   Late entries £100.00

All cheques made payable to Meynell & South Staffs. Hunt. No entry will be excepted without correct entry fee.

CLASS ........................................................................
Name of Team ..........................................................................................................................
Name of Rider	Name of Horse
1 ......................................................................	1 ...................................................................
2 ......................................................................	2 ...................................................................
3 ......................................................................	3 ...................................................................
4 ......................................................................	4 ...................................................................
Name & Address of Team Captain ...........................................................................................
..................................................................................................................................................
..........................................................................	Tel ...............................................................
Special Prizes (please state) .......................................................................................................
Personal Accident Insurance: It is a requirement that all participants carry Third Party insurance for not less than £5m. It is also strongly recommended that all participants have Personal Accident Insurance.

I agree to abide by the rules Signature ...................................................Date..........................

Entries received after Wednesday, 8th Spetember will be charged at the higher price.

Entries to be sent to:

The Entries Secretaries, Thorntree Hall Farm, Yoxall Road, Newborough, Burton on Trent, Staffs. DE13 8SU. Tel:01283 575 477