ENTRY FORM
CLASS 2: ALLCOMERS NOVICE (ENTRY FEE £80) Please Note: (£8/Team for medical cover paid with entry) (block capitals please) |
NAME OF TEAM |
...................................................................................................................................................... |
TEAM CAPTAIN |
..................................................................................................................................................... |
ADDRESS |
..................................................................................................................................................... |
.................................................................................................... POSTCODE........................................................... |
TEL NO: (HOME).....................................................(MOBILE ON THE DAY)..................................................... |
EMAIL |
.................................................................................................................................................... |
TEAM MEMBERS AND HORSES: |
RED NAME OF RIDER 1_______________________________________AGE IF UNDER 16______ |
HORSE____________________________________________________ |
COMMENTARY INFO__________________________________________________________________ |
BLACK NAME OF RIDER 2___________________________________AGE IF UNDER 16______ |
HORSE___________________________________________________ |
COMMENTARY INFO__________________________________________________________________ |
YELLOW NAME OF RIDER 3__________________________________AGE IF UNDER 16______ |
HORSE___________________________________________________ |
COMMENTARY INFO__________________________________________________________________ |
GREEN NAME OF RIDER 4____________________________________AGE IF UNDER 16______ |
HORSE____________________________________________________ |
COMMENTARY INFO__________________________________________________________________ |
SPECIAL REQUESTS___________________________________________________________________ |
Eligibility for Old Berks Prize, please circle: YES / NO
An entry fee of £80 per team (and £8 per team medical cover) MUST accompany this entry form.
Please make cheques payable to: Old Berks Hunt Cross Country Event
Entries will close on Wednesday 14th March 2012
Hon Secretary Mrs. Caroline Keen
10 Park Road
Faringdon
Oxon.
SN7 7BT
Email: caroline.grime@yahoo.com
Tel No: 07768 038606 |
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.
TEAM CAPTAINS MUST SIGN HERE TO SAY ALL RIDERS COMPETING IN YOUR TEAM HAVE READ AND WILL COMPLY WITH THE MFHA RULES. FAILURE TO DO SO WILL RESULT IN DISQUALIFICATION. |
SIGNED_______________________________________________ |
