Meynell & South Staffs. Hunt
Cross Country Team Chase
2005

ENTRY FORM SUNDAY, 11th September

CLASS 1 OPEN PAIRS (both to count) to ride to an undisclosed Optimum Time
ENTRY FEE £40.00 PER PAIR

CLASS 2 CUB HUNTER (Novice) teams to consist of three or four members,
three fastest to count
ENTRY FEE £85.00 PER TEAM (including levy)

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 £110.00 PER TEAM

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