Beaver Meadow Foxhounds Entry Form Nessa-Lee Hunter Pace May 3rd, 2015 Name: Mailing Address: Postal Code: Telephone: DOB (Junior): E-Mail: Name of Horse: The Ride is at 2949 Challice Line, 7km south of Millbrook. Present yourself (mounted) to the starter anytime after 8:30 and before 11AM. If you plan to ride the longer distance your must present yourself before 10:30AM I am planning to ride in the group with the following people (max group size is four riders): OR … please place me with a group of riders: Entry Fee enclosed (Check one) Paid on or before April 26th Paid after April 26th BMFH Member: $40 $55 Non-member $45: I require additional lunch tickets for people at $10 per person. Total Fee: (entry plus additional lunches) PLEASE READ AND SIGN THE FOLLOWING WAIVER: I understand that I participate in this high risk activity entirely at my own risk and, by signing this application I duly release the Beaver Meadow Foxhounds Hunt Club, its Masters, Board of Directors and the landowners over whose land we may cross, from any responsibility for any accident to my person or property howsoever caused. SIGNED DATE Please return the completed form to: Marion Castleton, 3233 Ferguson Road, Cobourg, ON K9A 4J9 Payment should accompany the form in cash, by cheque payable to Beaver Meadow Foxhounds or by e-transfer to [email protected] Alternatively bring to any Beaver Meadow Hunt activity, or drop of with payment at 547 Peace Road, Omemee