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Name:
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Phone:
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Social
Security Number:
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E-mail:
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Address:
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BBR #:
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City,
State Zip:
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Questions? Call 641-743-8223
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4D Format (1/2 sec splits) 5D bonus
paid ONLY with =(250-300 entries $75,
$50, $50)( 301-325 entries $100, $75, $50, $50) 326+ entries 5D bonus
pays… $100, $75, $50, $50, $50
List horses names below under EACH
RACE you want to enter horse. Please use registered names or NR (not
registered) after your horse’s name if they are NOT registered. No
refunds after entry deadline. Horse and/or rider subs allowed
through 7 pm Friday. No “selling spots” after 7 pm Fri. Late fees
taken until first horse runs each race.
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RACE 1 FRI not before 7 PM
($1000 added. Entry fee $35.00
Print name of horse(s) in numbered
blanks below
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RACE 2 SAT 11 am
$2000 added. Entry fee $55.00
Print name of horse(s) in numbered
blanks below
SIDEPOTS (Sat open race only) $20 extra
entry fee $100 added EACH
Full second split on side-pots
only.
Adult 3D (Riders 20-39),
Seasoned 3D (Riders 40+
WPRA FUTURITY & DERBY ENTER AT
THE SHOW
Senior Horse (horses 16+) 3D (send
copy papers) $20 ef
Note Side Pot entries
below (next to horses name and add $20//sidepot)
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1.
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1. Side pot? Which one?________
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2.
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2. Side pot? Which one?________
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3.
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3. Side pot? Which one?________
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4.
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4. Side pot? Which one?________ _
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YOUTH 3D THURS NIGHT 7 PM (ENTER ON SITE BY 6 PM $30 EF)
FULL SEC SPLITS 19 & UNDER AS OF JAN 1 $500 ADDED!
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RACE 3 SUN 8:30 AM
$2000 added. Entry
fee $55.00
Print name of horse(s) in numbered blanks
below
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Late
entries CASH ONLY (late fees apply after pre entry deadline) $15/day late fee
per rider
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Stalls open THURS 10 AM
(not before). Early arrivals will be charged $15 per stall
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2.
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Stalls
$50. All horses on grounds OVERNIGHT
must stall. No tie outs – no setting up pens on grounds!
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3.
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All vendors must pay a fee. Contact Renea by entry
deadline 641-743-8223
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4.
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One-Time Processing
Fee..........$20 per rider per weekend (if paying online by credit card
$15/weekend for pre-entries paid online)
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LIST
STALL BUDDY (person’s name below)
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