APPLICATION TO RECEIVE EXPRESS PERMISSION FOR JUNIORS

APPLICATION TO RECEIVE EXPRESS PERMISSION FOR JUNIORS
Riders Name*
EA Membership No*
Coaches Name*
FEI Membership No*
Date of Birth*
Postcode*
Mobile No*
Email address*
example@example.com
Horse Name*
Horses EA No*
Level of competition*
Horses FEI No (if applicable)
If you are using a pony club result as an MER please list details here including the name and date of the event and your result
I hereby make my application to be considered for express permission to compete in:
Insert level of competition 2* or 3**
Have you submitted your express permission request to your State Eventing Committee? *
Have you contacted your State Eventing Committee about your express permission request? Please note that applications not endorsed by your State Eventing Committee will not be considered.*
And if given permission, agree to abide by the rules and regulations of the competition and EA.
File Upload - for results

Cancelof
SIGNED*

Clear
DATE*

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