Download Report

ONE ENTRY FORM PER HORSE AND PER VENUE
Venue Required
PLEASE COMPLETE THE FORM IN BLOCK CAPITALS
Entry Form
OWNER Mr, Mrs, Miss, Ms, other
First NameSurname
NOW AVAILABLE: IF YOU WOULD LIKE TO
ENTER THE COMPETITION ONLINE VISIT
WWW.RACEHORSE2RIDINGHORSE.CO.UK
Address
Postcode
Telephone DayTelephone Evening
Racehorse to Riding Horse
2015 Championship
MobileDOB (if under 18)
EmailOccupation
RIDER (If different from owner) Mr, Mrs, Miss, Ms, other
First NameSurname
IMPORTANT NOTE
Address
Please include an SAE. If an SAE is not included we will be unable to
confirm an entry and any telephone calls will not be returned.
Postcode
Telephone DayTelephone Evening
Please send your entry form together with a stamped addressed envelope
and your cheque made payable to SEIB to: R2R, SEIB, South Essex
House, North Road, South Ockendon, Essex, RM15 5BE.
MobileDOB (if under 18)
EmailOccupation
Closing date for entries is 14 days before each venue date, to guarantee
your place book early. Entry fees will be returned if the class is full.
Please indicate address for correspondence:
As a winner you authorise us to share/use your details with the press for publicity purposes and
contact details will shared with HOYS on qualification.
By completing the form and entering to compete at Land Rover Burghley Horse Trials you agree
that your details will be shared with Burghley Horse Trials Ltd so that they can process the
entries and your details will be published at the show.
Please tick if you do not wish to receive marketing information by email, telephone or post about our
business partners
Please tick if you do not wish to receive marketing information by email, telephone or post from
members of the Ecclesiastical Group
Owner Rider
EMERGENCY CONTACT IN THE EVENT OF AN ACCIDENT
No late entries will be accepted for Land Rover Burghley Horse Trials.
Entries close 8th August 2015 and spaces are limited, if the class is full
entry fee will be returned in full.
Terms & Conditions
By submitting your personal details you consent to us using this information in the ways
described in our Privacy Policy, which includes sending you emails from time to time, telling you
about offers, discounts or other information which we think may be of interest to you, about our
business partners which we have carefully selected and from ourselves. You can opt out at any
time. Our privacy policy can be found at www.seib.co.uk/about-us/privacy-policy or by writing to
us at our registered office address.
Date
NameTelephone
NumberMobile Number
Relationship to competitor
HORSE
Name of horse
Passport No.
When last ran
When last in training
Who was the trainer?
Name of Sire
Name of Dam
Mare or Gelding
Height
Horse’s Age
Colour
Standard Entry Fee £45 per class Subtotal £
Late Entry Fee £15 per class
Subtotal £
TOTAL £
I have read, understood and agree to abide by the rules and qualifications.
SIGNED (OWNER)
SIGNED (RIDER)
(Parent or Guardian if 16 & under)
(Parent or Guardian if 16 & under)
PLEASE PRINT NAME (OWNER)
DATE
PLEASE PRINT NAME (RIDER)
DATE
PLEASE STATE HORSE/PONY’S PERFORMANCE RECORD (IF ANY) ON THE BACK OF THIS ENTRY FORM AND ANY INTERESTING FACTS ABOUT THE HORSE, RIDER OR OWNER. THANK YOU.