ENDURANCE GB RIDE ENTRY FORM V7.7

Ride Name / Cheshire Forest Frolic /
Official
Use
Only /
Rider Number
/
Date(s) / 15th &16th September 2012 /
Vet Time
/
PLEASE NOTE that Associate and Non-Members must pay the Entry Fee for Temporary Day Members
Class No / Dist / Type (circle) / Entry Fee / Class No / Dist / Type (circle) / Entry Fee
Day 1
/ NCR
Day 2 / NCR
Horse
/ Horse
Reg
No /
Qualification
(Circle)
/
NOV OPN ADV
Breed Society
/ /
Age
/ /
Col
/ /
Ht
/ /
Sex
/
G M S
Rider's Name / /
Member No
/
AANNNNN
/
Rider
Qualification

(Circle)

/

NOV OPN ADV

DoB if
Under 22
/
Rider's Address /

Owner’s Name

/
Owner’s Member No
/
AANNNNN

Owner’s Address

E-Mail Address: / E-Mail Address:
Postcode: / Phone: / Postcode: / Phone:
Mobile: / Mobile:

Name of Crew / Helper

/

Crew / Helper Mobile No

/

Crew / Helper Vehicle Reg

/ Emergency No if no Crew / Helper
Dress: A hard hat of PAS 015, BSEN 1384, EN 1384 or ASTM/SEI standard must be worn with the chinstrap securely fastened. If riding footwear without a heel is worn, a suitable caged front to the stirrup must be fitted. Competitors may not ride in Wellington Boots. Whips must not exceed 75cm in length. Spurs are not permitted.

Stabling & Accomm

(if applies)

/ Arrive
Date / Number of Nights / Total Stable Charge / Type of Bedding / Total Corralling Charge / Total Camp/
Accomm Charge / Total Charge
£ / £ / £ / £
I enclose: Photocopy of Flu Vaccination Certificate (if required) / Tick:
A LARGE (at least 7”x10”) SAE with sufficient stamps to cover postage of Ride Information / Tick:
Total Ride Entry Fee (Associate and Non-Members must pay the Entry Fee for Temporary Day Members) / £
Late Entry Fee £8, compulsory if postmark of entry after closing date (not applicable to NCR entries) / £
Stabling & Accommodation Fee (from above) / £
Other fee as specified in the ride schedule or other information / £
A crossed cheque, which is not post-dated, payable to “ENDURANCE GB” for overall total of / £
I understand that, save for death or personal injury caused by negligence, neither the organising committee of the ride, nor Endurance GB, accept any liability for any accident, damage, injury or illness to horses, owners, riders, ground spectators or any other person or property whatsoever. I understand that riding is a risk sport and that I will only compete if I am fit and competent to undertake the class I have entered.
The ride is being organised under Endurance GB rules, which I will observe. A copy of the rules will be on display at the ride or can be purchased from the office at Stoneleigh.
Signature of Rider or,
if rider under 18 yo, Date:
Parent / Guardian: / Name of accompanying adult
if rider is under 13 yo:
There may be a photographer in attendance. In order for any prints to be sent directly to you, we will provide your / your child’s name and address to the photographer. Please tick the box if you do not wish to receive prints.
Non-members please tick here if you do not wish to be contacted with further EGB information.