Team Chasing - Meynell & S.Staffs 2010

Class 1	Novice Pairs	Entry Fee - £40 plus £4 Medical levy
Class 2	Novice Team Chase	Entry Fee - £80 plus £8 Medical levy
Class 3	Intermediate Pairs	Entry Fee - £50 plus £4 Medical levy
Class 4	Open Team Chase Qualifier	Entry Fee - £120 plus £8 Medical levy
Class 5	The Intermediate Class	Entry Fee - £100 plus £8 Medical levy

CLASS:____________	NAME OF TEAM/PAIR:______________________________
SPECIAL PRIZES: (see Rule 15)	___________________________________________________

	Name of Rider	Name of Horse
1
2
3
4

ENTRY FEE PER PAIR/TEAM	£
MEDICAL LEVY PER PAIR/TEAM	£
TOTAL (payable to Meynell & South Staffs Hunt)	£

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 27th September 2010. 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) or a copy of the times

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.