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Poison Spider Name:

Spring Address:

Barrel Race Phone: Email:

Make checks payable to:


Amy Strickland Mile Hi = Yes / No NWBRA = Yes / No WPRA = Yes / No
28899 W Poison Spider Rd - Casper, WY, 82604

FRIDAY SATURDAY SUNDAY


Exhibition Open 4D Youth 2D Rancher 2D Exhibition Open 4D Youth 2D Rancher 2D Glow Stick 4D Exhibition Open 4D Youth 2D Rancher 2D TOTAL
$5 / each $25 $25 $25 $5 / each $50 $50 $50 $25 $5 / each $50 $50 $50

Horse's Registered Name

Horse's Registered Name

Horse's Registered Name

Office Fee (One time for weekend, per rider) $20

$10 Late Fee (Entered after April 25)

TOTAL DUE

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