Entry Form

2013 CHOMVIEW CUP

TEF no.
E-MAIL

1,000

400

400

400

400

600

800

O TCH O

O TCH O TCH O

Update 4 SEP. 2013

Pony

Horse Height 148 cm. (149 cm. with shoes)

Open

Unlimited Height of Horse

Team

Unlimited Height of Horse

Class 15 Team Name

I agree to abide all the rules and regulation of the competition and organizer. Should I involve rick or have an accident to my voluntary participation, release, discharge
and hold tharmless to the organizer and its, I fully respective members from any and all claims actions liabilities.
14 (For competitor under 14 years old)
(Signature)..

.././

(Signature of Parent) (....)

: 3 ( 13 .. 2556) E.I.
: 038-030708, 038-941360 e-mail: chomveiwhorse@hotmail.com

200 +Team

800

O TCH O

800

14

800

1,000

J4

13

1,000

J3

1,000

J2

12

800

J1

11

800

10

800

09

800

08

1,000

07

1,000

06

800

05

04

800

03

Ad01

13 OCT. 2013

800

02

800

2,000

Entry Fee

01

1,000

PCH O

EV

12 OCT. 2013

1,000

(cm)

11 OCT. 2013

800

EVENTING

600

Name

Ht.

Club

600

HORSE

Born Yr.

1,000

Name :
Phone :

2,000

RIDER
Mobile