CDRC CHARITY SHOW, SUNDAY 21 JUNE 2015

Class First Name Surname Age if Horse/Pony Name Fee under 16

PARAMEDIC PER PERSON £3.00

Total £

Name...... ………………………….. Phone No………………………… Email ______Signature...... (I hereby agree to abide by the conditions in the schedule)

Emergency Contact Phone Number If you are travelling alone………………………………………

TO ENTER BY POST TO ENTER ONLINE Please make cheques payable to: Email your entry to [email protected] CHOBHAM & DISTRICT RIDING CLUB and then make an internet banking BACS payment to: Entries to: Show Secretary,1 Farmhouse Close, Chobham and District Riding Club. Metro bank Pyrford, Woking, GU22 8LR Sort code 23 05 80 Acc 14569618

IMPORTANT! Please use your name as the reference.

Entries to be returned by Fri 12 June for Dressage, Weds 17 June for all other classes

NOT A MEMBER? JOIN TODAY! Join today simply print and complete the membership form below and email or post to the CDRC membership - get all the benefits of Riding Club membership including:  Reduced show entry fees at CDRC shows and shows held at Angel Farm, Lyne and Little Owl, Chobham.  Discounts at Chobham Rider, Chobham Buttons Saddlery, West End and Countrywide, Lyne. Chobham & District Riding Club

BLOCK CAPITALS PLEASE

YOUR DETAILS

First name: ______Last name: ______

Address______

______Post Code: ______/ ______

Date of Birth: ___ / ___ / ____ (Juniors only)

Mobile No: ______Email: ______

MEMBERSHIP - Please tick appropriate box Please note that if you are renewing your membership more than one month after its expiry date, then you will need to join again as a new member.

[ ] New Adult member (19+ as at 1/1/2015) £27.00 [ ] Renewing adult member £17.00

[ ] New Junior member (up to 19yrs) £24.00 [ ] Renewing junior member £14.00

[ ] New non-riding member £19.00 [ ] Renewing non-riding member £9.00

PAYMENT

I would like to pay for membership to Chobham and District Riding Club by: [Please tick] [ ] ONLINE BANKING [ ] CHEQUE Email your form to [email protected] then Payable to Chobham and District Riding Club online BACS payment to: Post to: Bob Deacon Chobham and District Riding Club, Metro Bank. 2 Hythe Park Road Sort code: 23 05 80 Acc No: 14569618 Egham IMPORTANT! Surrey Please use your name as the reference. TW20 8BW

Data Protection Act: Your details will be stored on computer and used for membership lists for the British Riding Clubs Office (please see below) and by the CDRC committee for newsletter distribution or notification of CDRC club or team events. CDRC will not provide your details to any other third parties. By providing us with your details you accept that CDRC may contact you through email, SMS or related software such as WhatsApp to notify you of club events.

The British Horse Society and British Riding Clubs are committed to protecting your privacy. We will only use the information that we collect concerning you lawfully and in accordance with the Data Protection Act 1998. You have a right at any time to stop us from contacting you for marketing purposes. The personal information we hold will be held securely in accordance with our internal security policy and the law. If we intend to transfer your information we will always obtain your consent first. By providing British Riding Clubs (BRC) with your details you accept that BRC will contact you by email, with their eNews publication.

SIGNED______DATE______