ENDURANCE GB RIDE ENTRY FORM V11.0

Ride Name /
Official
Use
Only /
Rider Number
/
Date(s) /
Vet Time
/
PLEASE NOTE that Try Before You Buyand Non-Members must pay the Entry Fee for Temporary Day Members
Class No / Dist / Type (circle) / EntryFee / Discount / Entry Fee
CER GER PR / Less 10% for Young Riders
PLEASE NOTE: the Standard entry fee is for Senior riders / Less 20% for Junior Riders
Horse
/ Horse
Reg
No /
Qualification
(Circle)
/
NOV OPNADV
Breed Society
/ /
Age
/ /
Col
/ /
Ht
/ /
Sex
/
G M S
Rider Name / /
Member No
/
AANNNNN
/
Rider Qual (Circle)
/
NOV OPNADV
DoB ifUnder 25
/
Rider Address:If the rider is under 18yo then please provide the Parent / Guardian address, phone number and email address. Please note: A Parental Consent form must be left with the secretary on the day of the ride. The RO will send a copy with ride details, or one can be downloaded from the EGB website /
Owner Name
/
Owner Member No
/
AANNNNN

Owner 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
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. A hard hat must be worn with the chinstrap securely fastened and must be of standard British PAS 015: 1998 or 2011 provided it is BSI Kite marked; European VG1 01.040: 2014-12 without Kite Mark; American ASTM F1163: 2004a or 04a onwards provided it is SEI marked; SNELL E2001, Australian and New Zealand AS/NZS 3838: 2006 onwards provided it is SAI global marked. 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(TBYB and Non-Members must pay the Entry Fee for Temporary Day Members) / £
Late Entry Fee £10, compulsory if postmark of entry after closing date (not applicable to PR 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.
Please note: Riders under 13 must be accompanied by an adult (18+). NB: An escort may only accompany 2 under 13s.
Signature of Rider or,
if rider under 18 yo, Date:
Parent / Guardian: / Name of accompanying adult
if rider is under 13 yo:
or name of junior being escorted.
There may be a photographer in attendance. In order for any prints to be sent directly to you, we will provide your name and address to the photographer. Please tick the box if you do not wish to receive prints.
Please tick this box if you do not give permission for prints to appear on the photographer’s website
Non-members please tick here if you do not wish to be contacted with further EGB information.