DOGS MUST BE ON LEADS AT ALL TIMES.

NAME:                         ______________________________________  Title: _______

ADDRESS:                 ___________________________________________________

                                     ___________________________________________________

POSTCODE:               ___________________________________________________

TELEPHONE:             ____________________     MOBILE: ____________________

EMAIL ADDRESS:       __________________________________________________

NAME OF SHARER (if applicable) :     _______________________________________

CVBA Member:   Yes/No                   OBH (North) Member:     Yes/No

Adult Members
I would like to become a member of Great Westwood Equestrian Park.   I have read and understand the GWEP Rules & Conditions from time to time in force (click HERE ) and I agree to observe them.   I confirm that I have adequate Personal Injury and Third Party Liability Insurance for my horse/pony and will indemnify the owners of Great Westwood Equestrian Park against all claims, for which I could be held responsible, arising from my use of the tracks, gallops and jumps, or from any breach of my obligations contained in this application form and the GWEP Rules & Conditions.

Child Members
I would like my above-named son/daughter to become a member of Great Westwood Equestrian Park.   I have read and understand the GWEP Rules & Conditions from time to time in force (click HERE ) and I agree to observe them.   I confirm that I have adequate Personal Injury and Third Party Liability Insurance for my son/daughter's horse/pony and will indemnify the owners of Great Westwood Equestrian Park against all claims, for which I could be held responsible, arising from my son/daughter's use of the tracks, gallops and jumps, or from any breach of my obligations contained in this application form and the GWEP Rules & Conditions.   I agree that my son/daughter will not ride alone.

MY INSURANCE IS WITH (Insurance Company): _______________________________________

Signed: _____________________________________________ (parent if under 16)

DOGS MUST BE ON LEADS AT ALL TIMES.

I would like to take out quarterly membership ending on  31.3.10/30.6.10/30.9.10/31.12.10*
I would like to take out annual membership ending on 31.12.10*
I enclose a cheque for £_____ made payable to "GWEP"

Please return to: Great Westwood Equestrian Park, Valley View, Cryers Hill Road, Cryers Hill, High Wycombe. HP15 6JS

*  Delete as applicable