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  - Schedule
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  - Entry Form
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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.

NOTES FOR THE COMMENTATOR
(your chance to influence what the commentator
might say about you whilst you are riding)!!

Name of Team/Pair: ______________________________________________________

Class: _________________________________________________________________

Team colours: ___________________________________________________________

Team Members:
(sucess/failures)

________________________________________________________
______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Likes or dislikes of riders and/or horses: _______________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Entries close at 9.00pm on Monday 14th September 2009. Late entries will be
accepted if space is available at an extra charge of £10 per pair/team.

Entry Forms to be returned, with cheque for the correct entry fee, to:

Mrs. Louise Williams, Glebe House, Osmaston, Ashbourne,
Derbyshire, DE6 1LW

Telephone: 01335 345988 - Fax: 01335 348426
Mobile: 07990 550547

Please make cheques payable to Meynell & South Staffs Hunt

Enclose an SAE if your require a Car Pass
(1 car pass per pair or 2 car passes per team)

Late payment of Entry Fees will incur a surcharge



To view and print page 1 of the entry form in a printer friendly format Click Here.

To view and print page 2 of the entry form in a printer friendly format Click Here.