Team Chasing - Atherstone 2010

	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, CV13 0BY TEL: 01455 292945
Reminder: Entries close Monday 20th September 2010. Late entries only accepted subject to availability and an extra charge.

£10.00 deposit for numbers will be payable on declaration.
It is a requirement that all participants carry Third Party Insurance for not less than £5million. It is also strongly recommended that all participants have Personnel Accident Insurance.

ATHERSTONE HUNT
CROSS COUNTRY TEAM CHASE
HIGHFIELD HOUSE FARM
SMORRALL LANE, BEDWORTH, WARWICKSHIRE
On SUNDAY 26th SEPTEMBER 2010.

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	:

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.