WHE Form

HADDENHAM ROTARY
SPONSORED HORSE RIDE 2023

On the Waddesdon Estate

"A superb venue for riders of all abilities"

Sunday 14 May 2023

EVENT CANCELLED

BECAUSE OF SUSTAINED RAIN

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Event Details; Directions and
Rules and Conditions of Entry

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Your Sponsorship Form
Click the 'Next' button below to enter your details

Each rider to submit an Entry Form for themselves

Riders wanting to ride with others
should each put the name of the rider organising the group
in the 'Riders Wanting to Start Together' box

Press 'TAB' to move to next field

* denotes required information
Any enquiries about this Entry Form or the event, please email to:

frank.readman@btinternet.com
Report a Problem with this Form
Report a Problem with this Form

ENTRY FORM

Sunday 14 May 2023
To be allocated by Rotary Rider Number
Rider Number
To be allocated by Rotary Start Time
Start Time
Name of Rider*

First NameLast Name
Rider Classification*
Choose from the drop down list
Name of Horse
Address of Rider*

Street Address

Street Address Line 2

CityCounty

Post Code
Rider Telephone Number*
Landline with Area Code, or Mobile Number
Rider Email*
Email address for the Rider
Preferred Start Time*
Choose from the drop down list of start times
Riders Wanting to Start Together
All riders wanting to start together, should each put the name of the rider organising the group
Responsible Adult Full Name (If rider under 18 yrs)*

First NameLast Name
Responsible Adult Email (If rider under 18 yrs
Email address for Responsible Adult
In case of EMERGENCY INVOLVING ME on the day, Contact this Family Member/Friend*

Full Name of Family Member/ Friend to contact in case of Emergency involving meTelephone Number of Family Member/Friend to contact in case of Emergency involving me
ENTRY FEE is £15 for each rider (Junior and Adult)

Pay Entry Fee by Bank Transfer:

Account Name: Rotary Club Haddenham and District

Sort Code: 30-90-38 Account Number: 01415118

Please make sure the Rider Name is used as the Reference
Should be Empty: