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ENTRY FORM
CLASS 1: ALLCOMERS INTERMEDIATE
(block capitals please)
NAME OF TEAM |
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TEAM CAPTAIN |
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ADDRESS |
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...................................................................................POSTCODE................................ |
TEL NO: (HOME)........................................ (MOBILE)..........................................
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EMAIL |
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TEAM MEMBERS:
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NAME OF RIDER |
NAME OF HORSE |
1 .................................................................................................................................. |
2 .................................................................................................................................. |
3 .................................................................................................................................. |
4 .................................................................................................................................. |
If eligible for Old Berks Prize, please indicate: YES / NO
An entry fee of £90 per team ( this includes medical cover ) MUST accompany this entry form.
Entries will close on Friday 11th September 2009
Please send entry form to:
Hon Secretary Mrs. Vanessa Marment, Gabbits Copse, Kingston Lisle, Wantage, Oxon OX12 9QY
Email vanessamarment@aol.com Tel No: 07738 479435
IT IS A REQUIREMENT THAT ALL PARTICIPANTS CARRY THIRD PARTY INSURANCE FOR NOT LESS THAN £5M. IT IS STRONGLY RECOMMENDED THAT ALL PARTICIPANTS HAVE PERSONAL ACCIDENT INSURANCE.
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ENTRY FORM
CLASS 2: ALLCOMERS NOVICE
(block capitals please)
NAME OF TEAM |
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TEAM CAPTAIN |
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ADDRESS |
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...................................................................................POSTCODE................................ |
TEL NO: (HOME)........................................ (MOBILE)..........................................
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EMAIL |
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TEAM MEMBERS:
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NAME OF RIDER |
NAME OF HORSE |
1 .................................................................................................................................. |
2 .................................................................................................................................. |
3 .................................................................................................................................. |
4 .................................................................................................................................. |
| If eligible for special prizes please tick box: |
Old Berks Prize |
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Family |
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Under 16 |
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An entry fee of £80 per team ( this includes medical cover ) MUST accompany this entry form.
Entries will close on Friday 11th September 2009
Please send entry form to:
Hon Secretary Mrs. Vanessa Marment, Gabbits Copse, Kingston Lisle, Wantage, Oxon OX12 9QY
Email vanessamarment@aol.com Tel No: 07738 479435 |
IT IS A REQUIREMENT THAT ALL PARTICIPANTS CARRY THIRD PARTY INSURANCE FOR NOT LESS THAN £5M. IT IS STRONGLY RECOMMENDED THAT ALL PARTICIPANTS HAVE PERSONAL ACCIDENT INSURANCE.
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ENTRY FORM
CLASS 3: OPEN PAIRS
(block capitals please)
NAME OF PAIR |
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CONTACT NAME |
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ADDRESS |
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...................................................................................POSTCODE................................ |
TEL NO: (HOME)........................................ (MOBILE)..........................................
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EMAIL |
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RIDER DETAILS:
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NAME OF RIDER |
NAME OF HORSE |
1 .................................................................................................................................. |
2 .................................................................................................................................. |
An entry fee of £40 per pair ( this includes medical cover ) MUST accompany this entry form.
Entries will close on Friday 11th September 2009
Please send entry form to:
Hon Secretary Mrs. Vanessa Marment, Gabbits Copse, Kingston Lisle, Wantage, Oxon OX12 9QY
Email vanessamarment@aol.com Tel No: 07738 479435
IT IS A REQUIREMENT THAT ALL PARTICIPANTS CARRY THIRD PARTY INSURANCE FOR NOT LESS THAN £5M. IT IS STRONGLY RECOMMENDED THAT ALL PARTICIPANTS HAVE PERSONAL ACCIDENT INSURANCE.
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To view and print Class 1 entry form in a printer friendly format Click here.
To view and print Class 2 entry form in a printer friendly format Click here.
To view and print Class 3 entry form in a printer friendly format Click here.
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