ENDURANCE GB RIDE ENTRY FORM V7.1

RIDE NAME / POPLAR PARK SANDLINGS RIDE /
Official
Use
Only /
Rider Number
DATE(S) / Saturday 7th & Sunday 8th MAY 2016 /
Vet Time

PLEASE NOTE THAT NON EGB MEMBERS MUST PAY THE ENTRY FEE PLUS A TEMPORARY DAY MEMBERSHIP FEE (TDM)

GRADED CLASSES 1-6 AND 11-16 SHOULD BE ENTERED VIA THE EGB WEBSITE

Please circle Class no / Distance / Class Type / Entry Fee
DAY 1 (SAT)
Class 7
Class 8 / 32 km 16 km / Pleasure Ride / £20 + £8*
£15 + £8*
*(TDM) / REQUEST TO RIDE WITH:
DAY 2 (SUN)
Class 17
Class 18 / 32 km
16 km / Pleasure Ride / £20 + £8*
£15 + £8*
*(TDM) / REQUEST TO RIDE WITH:

r

HORSE
Breed Society
/
DOB if under 22yrs
/
Colour
/
Ht
/
Sex
/
G M S
RIDERS NAME & ADDRESS:
/ PHONE:
MOBILE:
EMAIL:
POSTCODE:
NAME OF CREW / HELPER
/
CREW / HELPER MOBILE No (IF ANY)
/
VEHICLE REGISTRATION
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 may not exceed 75cm in length. Spurs are not permitted.
I ENCLOSE: Photocopy of Flu Vaccination Certificate (if required) / Tick:
Total Ride Entry Fee + £2.50 forestry permit / £
Temporary Day Membership £8 if applicable(non-members surcharge) / £
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 I have the competence 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 EGB Office, Abbey Park, Stareton, Kenilworth, Warwickshire CV8 2RP.
Signature of Rider or
Parent / GuardianDate:
(if rider under 18): / Name of accompanying adult
if rider is under 13 years:
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.

POST TO RIDE ENTRIES SECRETARY:

Antonia Hardwick, Poplar Park Farm, Hollesley IP12 3NA

RIDE DESCRIPTION & LOCATION: Poplar Park Equestrian Centre, Hollesley,Suffolk

IP123NA. The Ride takes place inForest, Heath and Farmland with minimal Roadwork.

Perfect for Barefoot Horses.