Kitsap Saddle Club

Name:________________________________________

Games Playdays

Birthdate:_____________________________________

1470 Saddle Club Rd.

Address:______________________________________

Port Orchard, WA 98366

Phone:_______________________________________

Info: 360-286-9267

Horses Name:_________________________________

Emergency Contact: (Name)_____________________________(Phone)_________________

Circle Date

Circle Division

Circle Events

April 27, 2014

Walk Trot

Barrels

June 1, 2014

Time Only

Speed Barrels

June 22, 2014

0-6 Lead-Line

Texas Rollback

July 27, 2014

7-12 Junior

Poles

August 17, 2014

13-17 Intermediate

Figure 8

September 21, 2014

18-38 Senior

Key Race

40+ Super Senior

California Stake
Team Event Jackpot

__________ $25.00 All Day Member (excludes jackpot)

__________ $35.00 All Day Non Member
__________ $15.00 All Day Time Only (no awards)
___________$5.00 Office Fee
___________$15.00 Stall Use Fee
___________Time Only Tickets X $5.00 each
___________ $5.00 Team Event Jackpot (each member )
___________ TOTAL

Cash ______ Check_____ Check Number__________ Received By:__________