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Class___________________ Date of competition_________________________
Name_______________________________________DOB (if Junior)___________
Address____________________________________________________________
Home Tel ____________________________Mobile Tel______________________
E-Mail______________________________________________________________
BHS Membership Number (delete)____________________
Horse Name_________________________________________________________
Height ___________Colour____________ Age___________ Sex_______________
Second Pairs Rider
Name______________________________________DOB (if Junior)___________
Address____________________________________________________________
Home Tel ____________________________Mobile Tel______________________
E-Mail______________________________________________________________
BHS Membership Number (delete)___________________________________
Horse Name_________________________________________________________
Height ___________Colour____________ Age___________ Sex_______________
Entry Fee £____________________
Total £____________________
Cheques made out to Miss J. McDermott
I have read and understood the rules and agree to abide by them.
Signed rider 1______________________Signed rider 2_______________________
(parent / guardian to sign if rider under 16yrs)
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