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Riders
Name___________________________________________
SS#______-______-______ Address______________________________________________________________________ City _______________________________ State_________________Zip__________________ Home Phone# (_____)________________ Cell/Work Phone# (_____)_____________________ |
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Please use horses registered name if
applicable. NO MEMBERSHIPS
REQUIRED | |
Open Race -
Friday April 28, 2006 starts 9am MAKE CHECKS PAYABLE TO
and MAIL ENTRIES TO: |
Youth Race - Friday
April 28, 2006 4D Youth follows Pony-
$500 Added for 50 Entries, up to $1,500 $25.00 Horse#1_______________________________________ Horse#2_______________________________________ Horse#3_______________________________________ Horse#4_______________________________________ Youth Race - Saturday April 29 2006 STARTS AFTER Pony $500 Added for 50 Entries, up to $1,500 $25.00 Horse#1_______________________________________ Horse#2_______________________________________ Horse#3_______________________________________ Horse#4_______________________________________ 3D Pony Race - Friday April 28, 2006 STARTS AFTER OPEN - $250 Added $20.00 Horse#1_______________________________________ Horse#2_______________________________________ 3D Pony Race- Saturday April 29 2006 STARTS AFTER OPEN $250 Added $20.00 Horse#1_______________________________________ Horse#2_______________________________________ ENTRY FEES: TOTAL # OF OPEN ENTRIES _____x $45= $ _____ TOTAL # OF YOUTH ENTRIES ____x $25= $ _____ TOTAL # OF PONY ENTRIES ____x $20= $ _____ (All horses must have Stall Fee or Ground Fee) STALLS ____x $55 =$_____ or # horses_____ x $10=$_____ One Time Processing Fee/Timer fee /person $25.00 (Beginning 4/27/06) $10 Late Fee/Entry $_____ TOTAL FEES: $_____ |
| PLEASE READ AND SIGN: In submitting my entry, I hereby release the show producers (Keith and Angie Dowell), the Showplace arena, and the Barrel Mania staff and anyone else from any claim or right for damages, which may occur to me, my horse, my child, or other property at this event. I realize there are certain risks in any sport, and I take full responsibility for myself and /or my child if an incident should occur. I understand that any video shot of me is the sole property of New Creations Productions and its owners. I am releasing all images of myself for their business use. If I choose not to be videoed I must inform New Creations Productions, in writing before my run/s. It is also understood that by signing this entry, I have read, understand, and agree to abide by all the rules. CONTESTANT SIGNATURE____________________________________ _______________________________________ DATE:__________ SIGNATURE OF PARENT/GUARDIAN IF MINOR |