ENDURANCE GB SOUTH EAST GROUP

HEADWAY TEAM CHARITY CHALLENGE TROPHY

Team Name _______________________________

Rider 1 _______________________________

Rider 2 _______________________________

Rider 3 _______________________________

Rider 4 _______________________________

Team to consist of up to 4 different riders and horses. Only CR and NCR rides of up to 42kms to be counted

The James Cassar Headway Trophy will be awarded to the team successfully completing the most kms in the season.

£5 per team member, with all monies going to Headway, the brain injury association.

Please make cheques payable to EGB South East Group and send with the entry form, to the Trophy Secretary ASAP. Any rides completed before the Trophy Secretary receives this form will not count towards this Trophy.

Jane Cook, 29 Nye Road, Burgess Hill, West Sussex, RH15 0JY

To be completed by Trophy Sec:

Date Form Received: …………………………………………