Issuu on Google+

British Dressage

16/01/2012 06:38

British Dressage Affiliated Competition Entry Form

Name of competition

Date

Bridle No. (org. use only)

Horse Name

Owner's Name

Horse Registration No.

Rider Name

Gender

Rider Membership No.

Age

Rider Group

Breed Entry 1

Entry 2

Entry 3

Class Section Entry Fee ++ Already Qualified ++ ÂŁ1.85 of Entry Fee is paid to BD and is not, therefore, subject to VAT

Stabling: Straw/Shavings boxes for nights of Eligibility for special prizes: Order of riding, times, etc...

Preferences Address

Town/city County

Day telephone no.

Postcode

Evening telephone no. E-mail

Total entry fee Stabling fee Total Credit/Debit card details

This payment option is only available at certain venues. Please check special notes section in competitions schedule.

Full Name:

(as printed on your credit card)

Credit Card Number: Start Date:

Issue number (Switch/Solo): /

Expiry Date:

/

I certify that the Owner and Rider are Members of British Dressage and that the Horse/Horses is/are registered with British Dressage. (With the exception of Competitors using the Class Ticket System)

FOR ORGANISERS USE ONLY

I confirm I have read rule 21 (Liability) and I agree to abide by the

Accepted

rules contained in the Official Dressage Rule Book.

SIGNATURE:

http://www.britishdressage.co.uk/competitions/entry_form

Date received

On W.L. Stabling arranged at

Page 1 of 1


entry form