BRECON & BORDERS WELSH PONY & COB BREEDERS ASSOCIATION BRONZE MEDAL SHOW 18 JUNE 2016 ENTRY FORM PLEASE USE BLOCK CAPITALS AND WRITE NAME CLEARLY: OWNER: ………………………………………………………………………………. ADDRESS: …………………………………………………………………………….. ……………………………………………………………………………………………… TEL NO: ………………………………………………………………………………… I AGREE TO ABIDE BY THE RULES AND CONDITIONS: SIGNED: ……………………………………………………………………….. DATE: …………………………………………………………………………… EMAIL: …………………………………………………………………………. I HAVE MY OWN PUBLIC LIABILITY INSURANCE Y / N Post entries to: Miss Jayne Owen-Lowe, Show Secretary, Tynewydd, Llandefalle, Brecon, Powys LD3 0NR Tel: 01874 754253 / Mob: 07768 336625 Email: newyddwelshcobs@tiscali.co.uk / www.breconandborders.co.uk / Find us on Facebook In order to keep running costs down, next year we will send the schedule by email only, wherever possible. If you wish to receive a PAPER copy of the 2017 schedule, please tick the box

Entry Fee: £5 per animal per class CLOSING DATE: 21 MAY 2016 – No late entries will be accepted Entry Fee: £5 per animal per class SEC USE CLASS NO NAME OF ANIMAL REG NO SEX AGE COLOUR SIRE NAME & REG NO DAM NAME & REG NO RIDER/ EXHIBITOR ENTRY FEE FIRST AID 2.50 TOTAL Please make all cheques payable to BRECON & BORDERS WPCBA Where did you hear about our Show? Please tick all that apply Entered previously Facebook Brecon & Borders Website Welsh Rider WPCS Calendar Wales & Border Counties Agri and Horse Show Association Handbook Other – please tell us where: