Exmoor Calvert Horseshoe
15km Leisure Ride and 25km Endurance Ride

Comer’s Gate, Withypool. Monday 30 May 2016

ENTRY FORM

One entry form for each horse. Closing date for entries is Monday 23rd May 2016.

Leisure Ride  Endurance Ride

Rider Name:………………………………...…. Age (if under 18): ……………….

Address: ……………………………………...…………….

…………………………………………………..…

………………………………………………….….

E- mail: ………………………………………………………..

Phone No: ………………………………………… Mobile: ………………………….

Horse Name: ……………………………………..Horse Age: ……………………..

Declaration by Rider

I understand and accept that, save for death or personal injury caused by negligence, neither the organising committee of the ride,nor Calvert Trust Exmoor, accept any liability for any accident, damage, injury nor illness to horses, owners, riders, groundspectators or any other person or property whatsoever. I understand that riding is a risk sport and I have thecompetence to undertake the class I have entered.

Rider’s Signature: ……………………………… Date:…………………………………

Payment

I enclose a crossed cheque which is not post-dated, payable to “Calvert Trust Exmoor” for the sum of:………………………………

Endurance Ride: Adults only £25

Leisure Ride: Adult - £20; 13 to 18 Years old - £15; 7 to 12 years old: £10; Family group riding together: £10 each.

Parental/Guardian Consent (If Rider under 18)

Parent Name:…………………………………….

Declaration: I declare that I give my consent to my child/guardian who is named above participating in the ride.

Signature: …………………………………………. Date:………………………………….

Important Notes

  1. The minimum age for the Endurance ride is 18 years old.
  2. The minimum age for the Leisure ride is 7 years old.
  3. Children below 13 years must be accompanied by an adult throughout the Leisure ride.
  4. Riders under 18 must gain parent’s written consent on the entry form.
  5. Horses must be at least 4 years old.
  6. A hard hat of PAS 015, VG1, ASTM F1163, SNELL E2001 or AS/NZ 3838 standard must be worn with the chinstrap securely fastened.
  7. If riding footwear without a heel is worn, a suitable caged front to the stirrup must be fitted.
  8. Competitors may not ride in Wellington boots.
  9. Whips may not exceed 30” in length.
  10. Spurs are not permitted.
  11. All horses doing the Endurance ride will be subject to a veterinary inspection at the half way point.
  12. No dogs or bicycles are allowed to accompany riders on the course.
  13. Entrants will be required to sign an indemnity statement on the Entry Form.
  14. Entrants will be required to provide a refundable £10 deposit at the Start when they receive their riding bib.
  15. Entrants are advised to review their insurance cover before the day.
  16. Riders are advised to take mobile phones with them (but please be aware that mobile signal coverage is variable over Exmoor).
  17. Riders are advised that weather can change quickly on Exmoor. Riders are advised to take awater roof jacket with them.
  18. Riders are advised to in take some water and energy bars with them.
  19. Riders need to be conscious that Dunkery and Horner Woods are owned by the National Trust and are Sites of Special Scientific Interest. They are delicate land forms. Riders must keep to the Bridleways except in the case of emergency.
  20. Riders need to be aware that 30 May is a Bank holiday and there will be walkers, cyclists and other riders using the same bridleways. Our riders do not have any higher privileges than any other user.

Return of Entry Forms

Send Entry Forms to:

Suzanne Sharp

Old School House

Treborough

Watchet

Somerset TA23 0QW

tel 01984 640630

email: