SOMERTON HORSE SHOW ENTRY FORM FOR ALL CLASSES

ALL ENTRIES TO: MRS C SZCZEPANSKI, 1 LOWER STREET, MERRIOTT,SOMERSET, TA16 5NL. TEL 01460 75425

CLASS	RIDER NAME & AGE	OWNER	NAME HEIGHT & AGE OF HORSE/PONY	FEE

ST JOHN AMBULANCE COVER: PLEASE ADD £ 2.00 PER RIDER/HANDLER:-				£2.00
LATE ENTRIES TAKEN ON THE FIELD IF NOT OVER SUBSCRIBED AT £ 2.00 EXTRA PER CLASS. ALL CARS NOT PULLING A HORSE BOX WILL BE CHARGED AT THE FULL RATE. COMPETORS WISHING TO CLAIM A REFUND MY DO SO FROM THE SECRETARY WHEN MAKING THEIR ENTRY.			TOTAL

Name...................................................................................................

Address..............................................................................................

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Telephone No.......................................................................................

ENTRIES WITH FEES BY
SATURDAY 14th JULY 2010

DECLARATION:
I agree to abide by the rules of the Somerton Horse Show.

Signature............
*if rider under 16 years of age, to be signed by parent or guardian.