ENTRY FORM

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

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

		First aid cover please add £1.00 per rider
		Total

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

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

..........................................................................................................

Post Code............................................................................................

Telephone No.......................................................................................
I agree to abide by the rules of the Somerton Horse Show.

Signed............

Please make cheques payable to "SOMERTON HORSE SHOW"