Event Entries

Event Date *

Club Class *

Dressage & Cones only

Driver *

First

Last

Email *

Numbers *

Address *

Backstepper *

First

Last

Email (copy) *

Horse/Pony *

Payment Method *

BACS
Cheque

ENTRY FEE (£40 / Junior £30) Dressage & Cones only £33. Long reining £33. Plus £10 for non-member. BACS payments to: Great Western Harness Club, Sort code: 20-30-47, Account: 80076503 Cheques to: Cathy Tucker, 2 Peacewater Cottages, Southcott, Okehampton EX20 4NL

Signed *

I enclose a copy of my horse/pony passport with the vaccinations as required by BC Rules Annex 11 | The original passport will be available for inspection if requested. | I agree to abide by the rules governing this event and GWHC Rules.

If a junior - Signed by Parent/Guardian