ATHERSTONE HUNT
TEAM CHASE
HIGHFIELD HOUSE FARM
SMORRALL LANE, BEDWORTH, WARWICKSHIRE
On SUNDAY 25TH SEPTEMBER 2005.

BLOCK CAPITALS PLEASE. Name of Team.......................................................................

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 Sportmans - Intermediate
 
Class 3 Foxhunters - Open
 
Class 1
Class 3
  1. Atherstone
  2. Adjacent Hunt
  3. Young Riders
 
 
 
  1. Atherstone
  2. 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 - £48.00, Class 2 - £56.00 (+ £10 on declaration), Class 3 - £100.00 (+ £10 on declaration).
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............................................

Contact Number.........................................................................................................................
All enquiries and entries to:
Donna Nobes, 38 Church Road, Ryton-on-Dunsmore, Coventry CV8 3ET. 02476 307309
Reminder: Entries close Monday 19th September 2005. Late entries only accepted subject to availability and an extra charge. £10.00 deposit for numbers will be payable on declaration.