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Junior Unaffiliated Show Jumping – Wednesday 15th April – Evening
Junior Unaffiliated Show Jumping – Wednesday 15th April – Evening
Junior Unaffiliated Show Jumping – Wednesday 15th April – 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
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Algeria
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Panama
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Samoa
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Senegal
Serbia
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Slovenia
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Somalia
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Togo
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Virgin Islands, U.S.
Wallis and Futuna
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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
*
Total
£ 0.00
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