WEST WYCOMBE PARK POLO CLUB - Tournament Entry Form 2008

 

This form MUST be completed and handed to the tournament organiser before you play on the first day of the tournament along with a cheque to cover the entry fee.

 

Tournament:

 

 

 

Team Colours:

 

 

 

Captain:

 

Contact No:

 

 

 

 

      Player Name                                   Handicap                           Home Club

 Player No. 1

 

 Player No. 2

 

 Player No. 3

 

 Player No. 4

 

 

                         Team Handicap:

 Nominated Umpire:

 

Entry Fees:    £360.00*  

Note: There is a discount of £60.00 for teams with a minimum of three WWPPC members.

Please enclose a cheque for the team entry made payable to West Wycombe Park Polo Club.

All members of this team are bonefide members of the H.P.A and abide by the rules and regulations. I certify that all the ponies in this team have been inoculated against Equine Influenza. I have read and agree to be bound by the conditions of the tournament. We understand that an umpire is will be required from each team.

 

DISCLAIMER

We recognise that polo is an aggressive, physical sport which, by its nature, involves a high risk of injury and damage to persons, animals and property, not only to the persons who are engaged in playing polo but also to bystanders and their personal property.  We also realise that the Club cannot control the actions of members of other persons playing polo or otherwise on the Club’s premises, nor the actions of the animals, and that the Club cannot and does not guarantee the safety of members or other persons or their animals or property while on the Club’s property or while using the Club’s facilities.  We accept full responsibility for our own safety, the safety of members of my family, guests, employees or other persons from time to time using the Club’s facilities as my invitees, and the safety of all their property (including horses and other animals).  We shall hold harmless and fully indemnify the Club in respect of all acts of my invitees or their respective animals.

 

PUBLIC DOMAIN PERMISSION

We hereby authorise photographs taken of me, my family and guests throughout the polo season to be published in the local and national press and/or on the internet for information or publicity purposes.  I understand that WWPPC will select photographs for publication with care and respect for those shown. Independent Press photographers are excluded.

 

 

 

Signed on behalf of the team:   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

 Name:

 

 Mobile Number

 

 Address

 

 Home Number

 

 

 

 Work Number

 

 

 

 E-mail address