Step 1 of 3 - Rider Information 0% Rider InformationName First Last Date of Birth* Date Format: 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 AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Horse 1If 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-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.Additional Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.Entry Requests/InformationAdditional Horses I would like to enter a 2nd Horse Horse 22nd Horse Name*2nd Horse Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.2nd Horse Additional Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.Additional Horses I would like to enter a 3rd Horse Horse 33rd Horse Name*3rd Horse Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.3rd Horse Additional Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.Additional Horses I would like to enter a 4th Horse Horse 44th Horse Name*4th Horse Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter.4th Horse Additional Class*-Select-BE95 (2012)BE108 (2016)N114 (2016)I116 (2016)Please choose the class that you would like to enter. Credit Card* Card Details Cardholder Name Total £ 0.00 Newsletter Please keep me updated with the Kelsall Hill newsletterTerms and Conditions* I accept the terms and conditionsPlease click here to read the terms and conditions for Kelsall Hill