Intention to attend Mini Camp 2011
Entry Form

10/11/12/13 August 2011

         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

Lead Rein

Off Lead Rein On lead rein

Please state any tests passed.

Please print and post this form along with with a deposit cheque for £40 made payable to:
The Burghley Branch of the Pony Club.
Please write member's name and 'Mini Camp' on reverse of cheque. Places cannot be reserved without payment of the deposit.

Please send by 30th  May 2011 to:
Mrs Cate Goodwin, Walnut Tree Farmhouse,
Church Street, Easton on the Hill Stamford
PE9 3LL