Daily Camp Entry Form

Monday 28th July to Friday 1st August

         Your details:

Name	Age 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Horse or Pony Name	Height > 10 hh 10 hh 10.1 hh 10.2 hh 10.3 hh 11 hh 11.1 hh 11.2 hh 11.3 hh 12 h 12.1 hh 12.2 hh 12.3 hh 13 hh 13.1 hh 13.2 hh 13.3 hh 14 hh 14.1 hh 14.2 hh 14.3 hh 15 hh 15.1 hh 15.2 hh 15.3 hh 16 hh 16.1 hh 16.2 hh 16.3 hh 17 hh < 17 hh Age 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Address
Postcode
Telephone Number (Home)	Mobile

email address

Please state any tests passed.

Any additional information we may need:
Please state any medical conditions or allergies to this member and state any current medications

Please print and post this form along with with a cheque for £120 made payable to:
The Burghley Branch of the Pony Club.
Please write member's name and 'Daily Camp' on reverse of cheque. Places cannot be reserved without payment.
N.B. In the event of hot weather and with health, safety and animal welfare in mind, we may consider moving to an alternative venue with additional cost, but will advise nearer the time.

Please send by 1st July 2008 to:
 

Nicky Thomson,

Manor Farm, Church Lane, Bisbrooke, Oakham LE15 9EL