TEAM CHASE
ENTRY FORM
(Closing Date 26th October 2009)

TEAM CAPTAIN ...................................................................................................................

ADDRESS ..............................................................................................................................

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TELEPHONE NO..................................................................................................................

NAME OF TEAM ..................................................................................................................

Please complete details for commentator overleaf: riders, horses and any interesting information about your team..

Tick boxes that apply:
Novice Team (bogey time)		£85 per Team (including levy)
Novice Team (fastest time)		£85 per Team (including levy)
Intermediate Team		£105 per Team (including levy)
Open		£115 per Team (including levy)
Best Veterans		Total age ................
Best Ladies
Best Hunt		Name of Hunt..........................................................

Cheque Total £....................................................................................
Please make Cheques Payable to: Essex and Suffolk Hunt Team Chase.

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.

My team have read, understood and agreed to abide by the rules set out by the Essex and Suffolk Team Chasing Committee.

Signed ....................................................................... Date .....................................................
Please send this form completed plus SAE for times to
Miss J. Taylor
Dairy Farm Office, Semer, Ipswich, Suffolk. IP7 6RA
jill@dairyfarmoffice.co.uk

NAME OF TEAM

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Please feel free to enter a short paragraph about each Rider and their Horse to assist our commentator in providing an interesting and informative commentary.
For Example:
Team chasing success, hunting details, embarrassing stories ect.

RIDER 1 .......................................................	HORSE 1 .......................................................
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RIDER 2 .......................................................	HORSE 2 .......................................................
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RIDER 3 .......................................................	HORSE 3 .......................................................
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RIDER 4 .......................................................	HORSE 4 .......................................................
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Riders and Horses names must be filled in.