Belvoir Team Chase

1st October 2006

Entry Form

Closing Date 25th September

(Please refer to the Schedule and General Rules)

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

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

…………………………………………………………………………………………..

…………………………………………………………………………………………..

Tel:- ..………………………………………

Class:- ………………………………………..
(Novice 9:30, Open 1:00, Fun 2:30)

Category (e.g. family, farmer, hunt Pony or Riding Club)………........……………………..

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

Team Details:-

	Rider	Horse	Comments
Red
Yellow
Blue
White

Team Notes:	............................................................................................................................
	............................................................................................................................
	............................................................................................................................

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