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August 18 and 19, 2007 Entry Form Please Print Clearly Futurity Entry ____Open4D_____ Amatuer_______ Name__________________________Phone________________ All futurity entries must enter Open 4D Sat. & Sun. Amatuer entries must enter Open 4D $ Futurity If I dont have a copy of horse papers please bring them, No office Charge for Futurity & Amatuer enrty fee"s Western Dresscode, only futurity horse may circle, 4D horses that circle will be N.T.
No tie outs or portable corrals, No putting horses in Fairgrounds outdoor arena or Holding pens High Plains reserve the right to refuse Entrys Heres Entry for the Jackpot $2000.00 added Open 4D BBR approved & Youth Open 4D (1000.00 added each Day) Open 4D_____________ Youth 3D___________ Name ______________________Telephone________________ Address___________________City_______________Zip______________ S.S. #________________________E-Mail__________________________ Horse #1________________________________ Horse #2________________________________ Horse # 3______________________________ Saturday Aug 18th 2007 Open 4D BBR x $45.00_____________- Entries Total_______________ Youth 18 & under $20.00___________ Entries Total______________ Processing Fee Total $ 10.00 Sunday Aug 19th 2007 Open 4D BBR approved x $ 45.00______________ entries Total____________ Youth 18 & under x $20.00 ______________entries Total_____________ Processing Fee Total___$10.00 Late Fee (after Aug 8th) $15.00 Total ___________ TOTAL DUE ______________________ I release High Plains Barrel Racing its workers, sponsors & Goshen Co. Fairgrounds from any claim, injury, or loss to myself, family, riders, employee, horses or equipment Signature______________________________________Date________________ Signature if rider is minor____________________________________ Call in entries excepted until Aug 1st entries must be paid by 8th. Entries must be Post Marked by Aug 8th On site entries excepted with $15.00 late fee. All on site entries Cash Only FMI Karen 1-307-837-2306 or 1-800-553-0813 High Plains Barrel Racing reserves the right to Refuse Entry Mail Entries & Fee’s to: Office use only |