Rally Booking Form

Please ensure you return this form asap to the address below to avoid being placed on a waiting list. Thank you.

Which rally (rallies) would you like to book?

Rally: Specify Date:
Rally: Specify Date:
Rally: Specify Date:

Tell us how to get in touch with you:

Name Age
Horse or Pony Name Height Age
Telephone Number (Home) Mobile

Any additional information we may need:
Please state any medical conditions or allergies to this member and state any current medications. Please state any Pony Club tests taken.

I have enclosed a cheque for
made payable to: The Burghley Branch of the Pony Club
Please mark back of cheques with rally name and date.
Thank you


Post to:

Mrs Ann-Marie Hemmings
30 Fountains Place