Entry Form
Transcription
Entry Form
Trophy Buckles to D Winners on Sat & Sun Double Points/Qualifier Print Clearly Schedule of Events: Name:________________________________________ FRIDAY PREP RACE - 5D $1000 Added $$$ Address: _____________________________________ Exhibitions: 1pm - 6pm - Enter when you get there Friday Prep Race Begins @ 7 pm SATURDAY RACE - 5D $2,250 Added $$$ City, State, Zip:________________________________ Ride Arounds: 9:30 am - 11:30 (1/2 hr open arena w/ barrels limited to 10 riders per session.) Enter when you get there. Race Begins at 12 noon SUNDAY CHURCH SERVICE - 8:30 Phone#:______________________________________ Email:________________________________________ SUNDAY RACE - 5D $2,250 Added $$$ Begins at 10am MUST HAVE NEGATIVE COGGINS/HEALTH PAPERS - BE PREPARED TO SHOW DOB:_____________ BBR#:______________ (Must include BBR # for points credit) IF YOU WANT TO RUN TOGETHER - ENTRIES MUST BE SENT IN TOGETHER – NO EXCEPTIONS!!! Classic Equine Race Classes For RV Reservations Contact the Somervell Co Expo office @ 254-897-4509 HORSES REGISTERED NAME FR ID A Y N IG H T SA TU SU RD N AY D R A A Y RA CE B -1 C B E 2 R pm -1 M 0 em am be YO rI nc UT en H tiv R ID e ER A D UL -1 T 6 an R ID d ER SE un N de -1 IO r 7 R -4 R 9 ID ER 50 + 4D Incentive Classes $35 $45 $50 $50 ## $20 $20 $20 $20 Subtotals FRIDAY HORSES 1 $ 2 $ 3 SATURDAY HORSES $ 1 $ 2 $ 3 SUNDAY HORSES $ 1 $ 2 $ Total $ $ For Further Info Contact Show Producers Processing Fee 817-563-RACE (7223) Late fee - after 9/27 $15 Stalls - $25 per day Mail Entry To: Win More Productions # of days c/o Destry Fleming & Corky Barder Shavings $10 bag 1 bag min/stall # bags If paying by credit card, MUST add 5% service fee $ PO Box 371 - Mansfield, TX 76063 email: destryfleming@gmail.com (Note - stall check out is 1pm) Total - $ 3 IDENTIFICATION AND RELEASE OF PERSONAL INJURY/By signing this document and by making entry as a participant, I hereby understand that injury/death to myself, my horse, or my child is a possibility no matter how careful the sponsors, officers, directors or participants may be. And furthermore, I as a participant (or parent/guardian), agree to hold harmless Win More Productions LLC and/or Better Barrel Races LLC and it’s officers, agents, management, contractors and employees from any expense, cause of action, damage or claim of damage (including legal fees) of any kind whatsoever which I might assert as a result of my (or my child’s) injury, death or claim. $20 NEW ENTRY OPTION - Fax Us Your Entry - 817-409-1837 Card # _______________________________________(Visa/MC/DISC) Name on Card __________________________________________ Exp Date __________ 3 digit code _________ (from back of card) (Credit Card subject to a 5% conv. charge paid to WinMore Prod.) Signature:_________________________________________________ Print Name:__________________________________ Date:______________________ IF CONTESTANT IS UNDER 18 YEARS OF AGE: Signature of Parent or Legal Guardian is required above. By signing, I acknowledge that I have read, agree to and understand not only the event rules, but also the above statement; If authorizing a credit card to be charged- I acknowledge the 5% convenience charge.