British Dressage Affiliated Competition Entry Form

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Name of competition Date
Bridle No. (org. use only) Horse Name
Owner's Name Horse Registration No.
Rider Name Gender
Rider Membership No. Age
Rider Group Breed
  Entry 1 Entry 2 Entry 3
Class
Section
Entry Fee ++
Already Qualified
++ £2.00 of Entry Fee is paid to BD and is not, therefore, subject to VAT
Stabling:
Straw/Shavings boxes for nights of
Eligibility for special prizes:
Preferences
Address
 
Town/city
County Day telephone no.
Postcode Evening telephone no.
Total entry fee E-mail
Stabling fee
Total

Credit/Debit card details
This payment option is only available at certain venues. Please check special notes section in competitions schedule.
Full Name: (as printed on your credit card)
Credit Card Number: Security Code:
Start Date: / Expiry Date: / Issue number (Switch/Solo):

FOR ORGANISERS USE ONLY
Date received
Accepted
On W.L.
Stabling arranged at

I certify that the Owner and Rider are Members of British Dressage and that the Horse/Horses is/are registered with British Dressage. (With the exception of Competitors using the Class Ticket System)

I confirm I have read rule 21 (Liability) and I agree to abide by the rules contained in the Official Dressage Rule Book.

SIGNATURE:

Note: Horses & riders not showing member/registration no. may have entry forms returned.