Finals June 24, 2017

$500 added to Open
J Arena
4800 Burke Hill, Ukiah, CA 95482 (707-272-9088)

Name: ___________________________________________ Email: ___________________________________ Phone: ____________________

Address: _________________________________________________________

Circle the amount of each event you are entering and circle carry over box if carrying over.
Open fee of $60.00 includes $5.00 fee for WCBRA WCBRA # _____________ NSBRA #____________
Entries must be postmarked by June 19 or enter at Thursdays race the 22.
Late fee $15.00 per horse until 6:00 p.m. day of race June 24th, after 6:00 late fee $25.00 per horse.

Lead Line Open Youth Novice Young Guns Novice Horse Circle
Pee Wee 4D 4D 4D 10 & under Horse not to have won
10 & under 18 & under as of Rider over $100 in lifetime Check
Jan. 2017 has not Cash
Horse’s Name
won
over
$100 NSBRA FEE $5.00

LATE FEE 6 P.M. $15.00
1. $10 $60 $35 c/o $35 $25 $35 c/o
from LATE FEE AFTER 6 P.M $25
Open
2. $10 $60 $35 c/o $35 $25 $35 c/o
from
Open
3. $10 $60 $35 c/o $35 $25 $35 c/o TOTAL
from
Open

In submitting this entry, I hereby agree to release and hold harmless the arena owners, arena operators, promoters, sponsors and any person connected with events, J Arena and any official, employee,
volunteer, director or agent of same, from losses, damages or injury to me and my family, my equipment, and/or my animals resulting from attending and/or participating at this barrel race or in transit
_________________________________________ ____________________
Signature (Must be signed by parent if under 18) Date

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