BELVOIR TEAM CHASE Entry Form
(One per class please)

Team Name	........................................	Contact Details Name: Address: Telephone No: Mobile No: Email:
Team Captain	........................................
Class	....................
Entry fee	£..................

Colour	Rider	Horse
Red
Yellow
Blue
White

Category if applicable ( e.g. Family, Farmer, Hunt, Pony or Riding Club member )

……………………………………………………………………………..

I enclose entry fee of     £……………………

Cheques made payable to “Belvoir Team Chase”

I confirm all our team members have third party insurance cover and agree to abide by the rules in this schedule

Signed:-…………………………………………

MRS. A. CREED, ENTRIES SECRETARY, BELVOIR TEAM CHASE,
6 EWDEN RISE, MELTON MOWBRAY, LEICS. LE130BU

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.

Third Party Insurance is covered by membership of the Countryside Alliance.

PLEASE COMPLETE THE COMPETITORS NOTES ON PAGE 2