MSSH CROSS COUNTRY EVENT and TEAM CHASE SUNDAY 20th SEPTEMBER 2009

ENTRY FORM

CLASS 1	Novice Fun Pairs	Entry Fee - £40 per pair
CLASS 2	Novice Fun and Easy	Entry Fee - £80 per team
CLASS 3	Intermediate Pairs	Entry Fee - £50 per pair
CLASS 4	Open Team Chase Qualifier	Entry Fee - £120 per team
CLASS 5	The Intermediate Class.	Entry Fee - £90 per team

CLASS:____________	NAME OF TEAM/PAIR:______________________________
SPECIAL PRIZES: (see Rule 14)	___________________________________________________

	Name of Rider	Name of Horse
1
2
3
4

Name & Address of Team Captain:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Post Code: ____________________________	Tel: __________________________
Insurance: 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
I, The Team Captain (on behalf of the above) agree to abide by the rules.
Signature: ____________________________	Date: ________________________
PLEASE NOTE: All riders will be required to sign an agreement on collection of their numbers.