Eventers Dressage – Wednesday 3rd February 2021 – Kelsall Hill Equestrian Centre

Rider Information
Name
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 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*
Class - Drop Down Field*
Please choose the class that you would like to enter.
Additional Class*
Please choose the class that you would like to enter.
Entry Requests/Information
Additional Horses
- I would like to enter a 2nd Horse
Horse 2
2nd Horse Name*
2nd Horse Class*
Please choose the class that you would like to enter.
2nd Horse Additional Class*
Please choose the class that you would like to enter.
Additional Horses
- I would like to enter a 3rd Horse
Horse 3
3rd Horse Name*
3rd Horse Class*
Please choose the class that you would like to enter.
3rd Horse Additional Class*
Please choose the class that you would like to enter.
Additional Horses
- I would like to enter a 4th Horse
Horse 4
4th Horse Name*
4th Horse Class*
Please choose the class that you would like to enter.
4th Horse Additional Class*
Please choose the class that you would like to enter.

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Credit Card*

Card Details

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Total
£ 0.00
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Rider Information