Charity Farm Ride for NW Air Ambulance – Saturday 5th December 2026

Rider Information

Name*

First Last

Email*

Mobile Phone Number*

Emergency Contact Name*

Emergency Contact Number*

Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

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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*

Time – Drop Down Field*

Please choose your time slot for the farm ride.

Entry Requests/Information

Credit Card*

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