Halloween 2023 29th October On-Line Entry Form Please enable JavaScript in your browser to complete this form.Name *FirstLastRiders Mobile *Emergency Contact Number *Riders Email *EmailConfirm EmailRiders age if under 18, type N/A if older than 18. *Riders under 16 should be accompanied by a responsible adult, riders between 16 and 18 must provide a parent consent form, which can be downloaded from the website.Age of Horse *All horses must be no younger than four years of age, this is a SEIB insurance requirement.Multiple Choice *Main Ride 19 km approx.12 mileLead-rein 2.4 km approx. 4 mileBHS | EGB NumberNot BHS/EGB Please Upload Your Up To Date Insurance Document Here Click or drag a file to this area to upload. If not BHS or EGB Please do not send without uploading your personal insurance documents, or select the extra £2.50 to use BHS insurance.Multiple Items *Pleasure Ride with BHS|EGB and own insurance. – £20.00Lead Rein with BHS|EGB and own insurance – £10.00Uninsured riders £22.50 covers you for the day – £22.50Uninsured lead rein riders £12.50 covers you for the day – £12.50Total£0.00I/we shall not hold UWBA or Ride Organisers responsible for any loss or damage. *Check This Box To Agree To Above StatementDISCLAIMER to be completed by the Owner /Rider: I/we understand that I/we shall not hold UWBA or Ride Organisers responsible for any loss or damage, however caused by me, my animal, my tack or vehicle whilst on the ride. I/we also undertake to make good any loss or damage, however caused by me, my animal, my tack or vehicle to stock or the environment whilst undertaking this ride. I confirm I am a competent rider.Checkbox ItemsHow would you like to pay? *PayPalCredit / Debit CardStripe Credit CardCardName on CardSubmit
