The Goring Hotel

National Team Chase Championship 2006

ENTRY FORM

Contact name:

Address:

Telephone:

Name of Team:

Team Colours: (these are now compulsory for the National Championship) Please describle with reference to body, sleeves and cap

Name of rider:	Name of horse:
Team Captain

All participants must carry Third Party Liability Insurance for not less than £5 million which is available through membership of the Countryside Alliance. It is also strongly recommended that all participants have Personal Accident Insurance.

ENTRY CHARGE FOR CHAMPIONSHIP CLASS - £120.00 per Team This includes MFHA levy of £10 per team. Please make cheques payable to Fernie Team Chase)

QUALIFICATION DETAILS: In accordance with the qualification criteria for the 2006 National Championship (detailed on page 2), please indicate where and when your team qualified for this class: Event: ........................................ Class: ........................ Date: .............. The Team Captain hereby declares that the Team entered above fully complies with the qualifying requirements of the Goring Hotel National Team Chase Championships and will abide by its rules at all times. Signed: ...................................................................

Please return the entry form with CHEQUE for £120.00 (payable to Fernie Team Chase) to arrive no later than 8pm on Monday 20th March 2006 to the Hon. Secretary:-

Katie Harpham, Wrenbury Farm, Smeeton Westerby, Leicestershire, LE8 0QJ.

Penalty for late entries £15 extra per team - which will be strictly enforced on declaration.
Please note that valid entries cannot be made by phone - only post or fax.

Team times will be advertised on www.teamchasing.co.uk prior to the event

Please enclose a copy of your open team profile (available from the MFHA at info@mfha.co.uk) or provide full details of your team on the back of this sheet for use by the event commentator - this is a mandatory requirement for this event.