First Name
 

 Surname
 

Email
 

Address
 

Town
 

County
 

Postcode
 

Tel

Mobile
 

DOB
 

Junior / Senior Member?

Junior members must be 17 or under on the 1st January 2010

Horses Name
 

Stable Name
 

BHS Points / BSJA Winnings

Valid Flu Vac? (Y/N)
 

Interested in Team Events? (Y/N)
 
If yes, please choose from the following, enter Y on those of interest.

Show Jumping
 

Hunter Trials

Dressage
 

Equitation
 

Anne Colls, Highfield,Thropps Lane,Longton, PR4 4SL

Please make cheques payable to Longton Riding Club.

Please write the members name and phone number on the back of the cheque

PRICES

Junior and Senior members £22.00 plus £1.20 to cover postage for schedule and membership card.

Non Riding Member (Social Member) £10.00 plus £1.20 to cover postage for schedule and membership card

Any 3rd and subsequent immediate family residing at the same address receive a further £1.00 reduction

Note: If postage is not paid, cards and schedules will be held for collection at a show.

INCLUSION IN TEAMS,  a contribution to entry fees may be required. 
Details of competitions, qualifying criteria and any contribution required will be published
in the newsletters, on the notice board and the web site.   It is primarily the responsibility of
individuals to put their names forward and also to inform the committee if they cannot attend