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Junior Unaffiliated Show Jumping – Wednesday 4th December 2024 – Evening
Junior Unaffiliated Show Jumping – Wednesday 4th December 2024 – Evening
Junior Unaffiliated Show Jumping – Wednesday 4th December 2024 – Evening
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1
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3
– Rider Information
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Rider Information
Name
First
Last
Date of Birth
*
DD slash MM slash YYYY
Email
*
Mobile Phone Number
*
Emergency Contact Name
*
Emergency Contact Number
*
Address
*
Street Address
Address Line 2
City
County / State / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
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Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Total
£ 0.00
Horse 1
If you are riding multiple horses, the fields for the subsequent horses will appear when you start completing the information for the first horse. If you have any queries, please ring the Kelsall office number on 07809689972.
Horse Name
*
Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses
I would like to enter a 2nd Horse
Horse 2
2nd Horse Name
*
Class Horse 2- Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
2nd Horse Additional Class- Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
2nd Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 2
I would like to enter a 3rd Horse
Horse 3
3rd Horse Name
*
3rd Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
3rd Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
3rd Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 3
I would like to enter a 4rd Horse
Horse 4
4th Horse Name
*
4th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
4th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
4th Horse Additional Class 1 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 4
I would like to enter a 5th Horse
Horse 5
5th Horse Name
*
5th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
5th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
5th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Additional Horses 5
I would like to enter a 6th Horse
Horse 6
6th Horse Name
*
6th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
6th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
6th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 6
I would like to enter a 7th Horse
Horse 7
7th Horse Name
*
7th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
7th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
7th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 7
I would like to enter a 8th Horse
Horse 8
8th Horse Name
*
8th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
8th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
8th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 8
I would like to enter a 9th Horse
Horse 9
9th Horse Name
*
9th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
9th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
9th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Additional Horses 9
I would like to enter a 10th Horse
Horse 10
10th Horse Name
*
10th Horse Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
10th Horse Additional Class – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
10th Horse Additional Class 2 – Drop Down Field
*
-Select-
Class 1 – 30cm
Class 2 – 40cm
Class 3 – 50cm
Class 4 – 60cm
Class 5 – 70cm
Class 6 – 80cm
Class 7 – 90cm
Class 8 – 1m
Class 9 – 1.10m
Entry Requests/Information
Credit Card
*
Card Details
Cardholder Name
Total
£ 0.00
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