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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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NWBRA_____
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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.
Seasoned 3D (Riders 40+) Futurity Horse
2D (5 & under) full sec split
(Futurity horse not competed prior
to 12/01/06 send copy papers)
Senior Horse (horses 16+) 2D (send
copy papers) $20 ef full sec split
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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7PM YOUTH RACE SAT NIGHT $500 ADDED 3D $30
ENTRY FEE (full sec splits)
YOUTH
ENTERIES TAKEN ON-SITE ENTRIES CLOSE 6PM SAT NO LATE FEES
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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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1.
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Stalls open Friday 7 am (not
before) NO EARLY ARRIVALS.
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2.
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Stalls
$50. Open 7am Fri. 1 bag shavings
included in all pre-entry stalls. Stalls not reserved in advance will NOT
include the bag of shavings in this fee and will be $50 at the event. ALL
HORSES ON GROUNDS OVERNIGHT MUST STALL NO TIE-OUTS ALLOWED.
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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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