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Tel 01452 840336 or 07899 998339  

Cirencester Fun Ride

Entry Form


PRE-ENTRIES CLOSE FRIDAY MIDDAY BEFORE THE EVENT

ALL PRE-ENTERED: £23.00

ENTRIES ON THE DAY: ADULTS £30.00, 14 AND UNDER £25.00

OPTION ONE - Pay by Cheque

   
(Click icon to open in desired format)

Please complete the one of the attached forms and send to:

C.P.F.R.
Brierley Hill,
Newent Road,
Staunton,
Gloucester,
GL19 3QR

Tel: 01452 840336 or 07899 998339         E-mail: mikefreemanis@gmail.com

OPTION TWO - Pay Online

Complete the following form and pay online via our secure facility at www.everybodysmile.biz


Name:

(If paying by credit card, the name of the cardholder)
Address:
Postcode:
E-mail:

Name of Rider 1:
Name of Rider 2:
Name of Rider 3:
Name of Rider 4:
Name of Rider 5:

RULES AND CONDITIONS

Properly fitted riding hats, and correct footwear are a must, body protectors are strongly advised. Personal and public liability insurance is recommended. Horses and ponies must be four years and over.

All riders must report to the secretary for a number, no person will be allowed to start without one

Riders may start at a time to suit themselves, the start will be regulated to avoid any congestion.

The organizers their servant’s agent’s landowner and all persons involved with the ride accept no liability for injury to person horse or spectator, or any damage to their property however caused.

The payment of entry fee will be considered as acceptance to comply with these terms.


If riding alone please complete the following section for us in the event of injury or needing help to return home:

Name of Close Relative/Friend:
Contact Mobile:
Contact Landline:

Verification Code:
Text from the image above: