Belvoir Team Chase

2nd October 2005

Entry Form

Closing Date 26th September

(Please refer to the Schedule and General Rules)

Team captain:- .....…………………………………………………………………………….

Address:- ……………………………………………………………………………………..

…………………………………………………………………………………………..

…………………………………………………………………………………………..

Tel:- ..………………………………………

Class:- ………………………………………..
(Novice 9:30, Open 2:15, Fun 3:15)

Team Name:- ………………………………………………………………………………….

Team Details:-

	Rider	Horse
Red
Yellow
Blue
White

I enclose entry fee of £………………………………………………………………………..

I confirm all our team members have third party insurance cover.

Signed:- ……………………………………………………………………………………….

Return with S.A.E. to MRS. A. CREED, SECRETARY, BELVOIR TEAM CHASE, 6 EWDEN RISE, MELTON MOWBRAY, LEICS. LE130BU