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EACDG Entry Form 2010
1 day event Ashfields Sun 4 April 2010

Eacdg members get reduced entry fees and automatic 3rd party cover for our events - you can join at the same time as you enter this event Join now


Class:
 
First name: Last name: Date of birth
if under 18
 
Address1:
Address2:
Town: Postcode:
 
Phone: Mobile:
Email:
 
Groom's name:
Name of Horse/PonyBreedAgeSexHeight
Marathon colours, vehicle details (type, colour etc)

Notes
Please click the first one of these which applies to you
I am a current member of the Eacdg or now joining, or
I belong to the BHDTA, current membership number:
or, I have other insurance (please give company and policy number)
     My insurance: 
I will want my competence form signed for this event, please.
I agree to abide by the rules under which the event is being held and accept the disclaimer.
Junior's parent/guardian agrees

I would like meals on Saturday night at £10 each

Credit/debit cardholder - card must be registered to the address above
First name:
Last name: Total cost: £