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Kentucky Series Entry Form 10 by 7ws4Y6


									                           Kentucky Series Ride Entry Form
 RIDE NAME          Kentucky Series Delamere Pleasure Ride                          Distance                    16 km
 DATE               6 March 2010

 Society &                               Age                   Col                   Ht               Sex       G M S

                                                  EGB member or Associate member                            Yes / No
 RIDER                                           DoB if
                                                 Under 17


 Postcode                                    Phone

                                             Mobile (if any)

 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.

 A LARGE (at least 7”x10”) SAE with sufficient stamps to cover postage of Ride Information              Tick:
 Ride Entry Fee    Members £8                                                                           £
 Ride Entry Fee Non-members £13 (includes Temporary Day Membership of Endurance GB)                     £
 A crossed cheque, which is not post-dated, payable to “ENDURANCE GB Cheshire Group” 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. 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 obtained from Central Office
 at a cost of £5 including postage

 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
 Signature of Rider or
 Parent / Guardian                                             Date:
 (if rider under 17):
Entries to: Steph Wagstaff-Bethell, Kinver, Millfields, Nantwich, Cheshire, CW5 5HS
Tel: 01270 628052 Email:

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