JuniorAcademyMembershipform2008

THE BRITISH SHOW JUMPING ASSOCIATION

BSJA CORNWALL AREA 51

Junior Co-ordinator: Val Mason

Alma Cottage, Bunts Lane

St Day TR16 5PA

BSJA Area 51 Junior Academy Information Form

Rider Information

Rider Name………………………………………………………………………………………

Date of Birth………………........................

Address……………………………………………………………………………………………

……………………………………………………………………………………………………..

Telephone………………………………………………………………………………………..

Mobile ………………………………………… e-mail …………………………

Name Parent/Guardian …………………………………………

Mobile ………………………………………… e-mail…………………………..

Pony Information (if more than 3 ponies use separate sheet of paper)

Pony/Horse 1

Height

Grade

Current competition level

Pony/Horse 2

Height

Grade

Current competition level

Pony/Horse 3

Height

Grade

Current competition level

Goals

Tell us about your goals/aspirations for the next 12 months

……………………………………………………………………………………………………..

Tell us about your long term ambitions (don’t be shy!)

……………………………………………………………………………………………………..

BSJA Registered Office:

BSJA, National Agricultural Centre, Stoneleigh Park, Kenilworth, Warks CV8 2LR