Help to find the start: Postcode TA5 1HN CHURCH FUN RIDE ENTRY FORM Sunday May 18th 2014 9.30 – 12.30 FROM Name: ...... : via Kingston St Mary – narrow road to Address: ...... Marsh Mills crossroads, Over Stowey (10 miles) ...... Telephone: : ...... : Take the A39 direction Minehead Email : ...... Turning left at the Cottage Inn (7.5 miles) signed Mobile phone number for emergency use only during ride Over Stowey. Continue to Marsh Mills crossroads ...... Names of additional entrants: WILLITON: Take the A39 via , to avoid 2...... Mobile ...... 3...... Mobile ...... Crowcombe Hill . Turn right at the Cottage Inn 4...... Mobile ...... And continue to Marsh Mills crossroads (11 miles) 5...... Mobile ...... SIGNAGE FROM MARSH MILLS CROSSROADS Entries in advance: Adults £15 12 years & under (accompanied) £10 Ride starts at Seven Wells. Parking Charges apply Amount enclosed: £…………………… £2 for car and trailer £4 for lorry. Please make cheques payable to Over Stowey Church Please sign below Parking Tickets must be displayed in vehicle windscreen I, and all the additional entrants listed above, have adequate Public Liability insurance (signed) There are 2 tickets machines that take £1 coins at Ramscombe...... Refreshment van on site Please return form to: Kate Houghton, Radlet Cottage , Bridgwater, TA5 1DE with s.a.e. for times & ride info. Vet and Doctor on call Tel: 01278 671362 email: [email protected]

Route will be clearly marked and stewarded. RIDERS MUST WEAR SECURELY FASTENED HARD HATS (PAS015, BSEN 1384, EN1384 or ASTM/SEI Standard). CHILDREN UNDER 12 YEARS OLD MUST BE ACCOMPANIED BY AN ADULT. ALL RIDERS ARE AT THEIR OWN RISK AND NO RESPONSIBILITY CAN BE TAKEN BY THE ORGANISERS OR LANDOWNERS FOR ANY LOSS OR ACCIDENT, HOWEVER CAUSED. ALL RIDERS MUST HAVE THEIR OWN PUBLIC LIABILITY INSURANCE

 Vet & Doctor & on call. Refreshment van on site Preferred start time: please tick so that we can allot a time 9.30 ‐10.00 10.00‐10.30 10.30‐11 11.00‐11.30 11.30‐12