Dairy Eliminator Entry Form
Entry deadline: 19th May (midnight)
2nd June 2026 | Walmsley Fold Farm PR5 0XA | 19:00 (19:15 start)
///scatters.save.pointed
Club
*
Bilsborrow
Bolton-by-Bowland
Bury
Chipping
Chorley
Clitheroe
Longridge
Parbold
Pendle
Rainford
Samlesbury
Slaidburn
Turton
Vale
Winmarleigh
Name of person completing form on behalf of club
*
First Name
Last Name
16 and Under
Rows
Full Name
Membership Number
1
2
3
4
5
6
7
8
9
10
21 and Under
Rows
Full Name
Membership Number
1
2
3
4
5
6
7
8
9
10
28 and Under
Rows
Full Name
Membership Number
1
2
3
4
5
6
7
8
9
10
16 and under
21 and under
28 and under
Submit
Should be Empty: