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Senior Unaffiliated Show Jumping – Thursday 4th December 2024 – Evening
Senior Unaffiliated Show Jumping – Thursday 4th December 2024 – Evening
Senior Unaffiliated Show Jumping – Thursday 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
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Australia
Austria
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Belarus
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Belize
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Canada
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Chad
Chile
China
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Cook Islands
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Gabon
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Germany
Ghana
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Niger
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Niue
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Norway
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Panama
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Pitcairn
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Portugal
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Rwanda
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Saint Barthélemy
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Saint Kitts and Nevis
Saint Lucia
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
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South Sudan
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Sudan
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Sweden
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Taiwan
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Tanzania, the United Republic of
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Timor-Leste
Togo
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Tuvalu
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Uganda
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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
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses
I would like to enter a 2nd Horse
Horse 2
2nd Horse Name
*
2nd Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
2nd Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
2nd Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 2
I would like to enter a 3rd Horse
Horse 3
3rd Horse Name
*
3rd Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
3rd Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
3rd Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 3
I would like to enter a 4r Horse
Horse 4
4th Horse Name
*
4th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
4th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
4th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 4
I would like to enter a 5th Horse
Horse 5
5th Horse Name
*
5th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
5th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
5th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 5
I would like to enter a 6th Horse
Horse 6
6th Horse Name
*
6th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
6th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
6th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 6
I would like to enter a 7th Horse
Horse 7
7th Horse Name
*
7th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
7th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
7th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 7
I would like to enter a 8th Horse
Horse 8
8th Horse Name
*
8th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
8th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
8th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 8
I would like to enter a 9th Horse
Horse 9
9th Horse Name
*
9th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
9th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
9th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Additional Horses 9
I would like to enter a 10th Horse
Horse 10
10th Horse Name
*
10th Horse Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
10th Horse Additional Class
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
10th Horse Additional Class 2
*
-Select-
Class 1 – 60cm
Class 2 – 70cm
Class 3 – 80cm
Class 4 – 90cm
Class 5 – 1.00m
Class 6 – 1.10m
Class 7 – 1.20m
Class 8 – 1.30m
Entry Requests/Information
Credit Card
*
Card Details
Cardholder Name
Total
£ 0.00
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