Molash Blossom Ride 2019 Entry Form

Sunday 28th April 2019 is the date for the Molash Blossom Ride starting from Wytherling Court, Molash, CT4 8HX.

ENTRY FORM  – MOLASH  RIDE –  SUNDAY 28TH APRIL 2019

 WYTHERLING COURT. MOLASH, CT4  8HX

Please use BLOCK CAPITALS

 

1. Name
(main contact)
 

 

Entry fee
Address

 

 

 

Post code:

 

 

£

Tel. no.
2. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.
3. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.
4. Name  

 

 

 

 

 

£

Address

 

 

 

 

Post code:

Tel. no.

                                                                      TOTAL  £   

      EMAIL ADDRESS: (for emergency contact) :-

Starting times 09.30 – 13.00. No starting after 13.00.      

 I should like to ride with (not in the list above) _________________ Preferred starting time: _____

Entries with stamped addressed envelope, signed and appropriate entry fee (NONRETURNABLE)

£12 (17 & over)     £10 (16 & under),               No later than 26TH  APRIL 2019  to:-
Mr. Geoff Jenkins, Kings View, Shottenden Lane, Molash, Canterbury, Kent CT4 8EZ

Please make cheques payable to MOLASH PCC CHARITY RIDE

I have read the Schedule and agree to abide by the Rules. I guarantee to pay the Riding Fee of £5 on the day

Signed:            _______________________________________________

Parent or Guardian if under 17 years of age