Team Chasing - Atherstone 2009

	Forename	Surname	Date of Birth If under 16 years	Horse	Hunt
1. Red	........................	........................	........................	........................	........................
2. Yellow	........................	........................	........................	........................	........................
3. Blue	........................	........................	........................	........................	........................
4. White	........................	........................	........................	........................	........................

Please tick the appropriate class and the special prizes for which your team is eligible.

CLASS

SPECIAL PRIZES

Class 1 Cubhunters - Bogey Time

Class 2 Foxhunters - Open

Class 3 Sportmans - Intermediate

Class 1

Class 3

Atherstone

Atherstone

These eligibility's will be re-checked at time of declaration.

I enclose a cheque for £ ................ (Please make cheques payable to Atherstone Hunt Cross Country Team Event)
Entry Fees: Class 1 - £80.00, Class 2 - £132.00, Class 3 - £100.00	Inclusive of MFHA levy and contribution to Medical services.

NO ENTRY WILL BE ACCEPTED WITHOUT THE CORRECT ENTRY FEE.
On behalf of the team, I agree to abide by the rules and conditions in the Schedule
BLOCK CAPITALS PLEASE.

Team Captain...................................................................................Date....................................

Address......................................................................................................................................

..................................................................................................................................................

Signature..................................................I heard of this event from............................................
All enquiries to: Suzanne Sherwin on 01455 292945 or scsherwin@hotmail.co.uk
All entries to:
Ginny Sherwin, Dovecote Cottage, Shackerstone Walk, Carlton, Nr Nuneaton CV13 0BY
TEL: 01455 292945
Reminder: Entries close Monday 21st September 2009. Late entries only accepted subject to availability and an extra charge.

£10.00 deposit for numbers will be payable on declaration.

ATHERSTONE HUNT
CROSS COUNTRY TEAM CHASE
HIGHFIELD HOUSE FARM
SMORRALL LANE, BEDWORTH, WARWICKSHIRE
On SUNDAY 27th SEPTEMBER 2009.

ENTRY FORM cont.

Additional information for the commentator.
(Please help the commentator by complting the detail below).

Rider 1 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 2 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 3 name	:
Nickname	:
Age	:
Hobbies	:
Other	:
Rider 4 name	:
Nickname	:
Age	:
Hobbies	:
Other	:

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