ROCKHAMPTON EQUESTRIAN CENTRE

                  Rockhampton. Nr Berkeley. Glos GL13 9DT      
                             Tel; 07976 361929  E Mail; [email protected]

ENTRY FORM       - SHOW DATE________________________________     

  

CLASS                HORSE/PONY & REG NUMBER                                   OWNER RIDER & REG NO                                         E/FEE


  


















  

                                                                                                                                            1st Aid £3 per horse/pony MAX charge £6 per rider £                                       

                                                                                                                                                                                                                                 TOTAL

__________________________________________________________________________________________________________________________   


IT IS A CONDITION OF ENTRY THAT EVERYONE WHO ENTERS OR ATTENDS THE SHOW DOES SO ENTIRELY AT THEIR OWN RISK & ACCEPTS THAT NEITHER ROCKHAMPTON EQU CENTRE OR ANY OF THEIR STAFF OR HELPERS CAN IN ANYWAY BE HELD RESPONSIBLE OR LIABLE FOR ANY ACCIDENT, INJURY,ILLNESS,LOSS OR DAMAGE THAT IS INCURRED BY THEM, THEIR PROPERTY OR ANIMALS WHILST ON OR IN THE VICINITY OF THE SHOWGROUND.   I ACKNOWLEDGE I AM TAKING PART IN A RISK SPORT.


NAME___________________________________________________________                                            


SIGNED : _____________________________________


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SIGNATURE (Junior Rider - Parent or gaurdian)__________________________________________________                                                     


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