Pony Club Members Rallies Application Form

First Name     Surname     would like to attend the following rallies;

Providing the following information is optional, but will help us better sort out and organize the rallies,

Year of Birth     Current School     E-Mail 

  Name
  Location
Date              Price
    
 
Junior Camp 2012
Horseheath PtP
Monday, July 30, 2012   £120
    
 
Intermediate Camp 2012
Tattersalls
Sunday, July 22, 2012   £230
    
 
XC Evening
Horseheath PtP
Friday, June 15, 2012   £10
    
 
XC Evening
Horseheath PtP
Friday, June 01, 2012   £10
    
 
Please enclose payment of   Total
    
 

Please make a copy of the completed form for your records and send us the original with your payment.