Team Name........................................

Team Captain........................................

Class....................

Entry fee £..................

Category if applicable ( e.g. Family, Farmer, Hunt, Pony or Riding Club member )

……………………………………………………………………………..

I enclose entry fee of     £……………………
Cheques made payable to “Belvoir Team Chase”
I confirm all our team members have third party insurance cover and agree to abide by the rules in this schedule

Signed:-…………………………………………

Send to
MRS. A. CREED, ENTRIES SECRETARY, BELVOIR TEAM CHASE,
6 EWDEN RISE, MELTON MOWBRAY, LEICS. LE130BU

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.

Third Party Insurance is covered by membership of the Countryside Alliance.

Colour	Rider	Horse
Red
Yellow
Blue
White
Contact Details
Name:
Address:
Telephone No
Mobile No

Team Chase
Commentator information

Number.................. ( Entries Sec)

( Background history, past success, funny story, anything that you would like to share.)

Team Name:

Class : ..........................................

Red :

Yellow :

Blue :

White :