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show date: |
 Horse:
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Owner Name: (First, Last) |
Phone: |
Address: |
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(Please include area code) |
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City: |
State: |
ZIP: |
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(check the box for each class you wish to enter this horse
and identify EACH rider, if different) |
Rider Name: (First,Last)
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$100
+ $25 Jackpot |
Open* |
Rider Name: (First, Last)
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$100
+ $25 Jackpot |
Non-Pro* |
Rider Name: (First, Last)
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$100 |
Futurity Practice* |
Rider Name: (First, Last)
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$100
+ $25 Jackpot |
10,000 Novice* |
Rider Name: (First, Last)
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$100 + $25
Jackpot |
10,000 Novice Non-Pro* |
Rider Name: (First, Last)
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$25 + $25 Jackpot |
Rider Name: (First, Last)
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$100
+ $25 Jackpot |
3,000 Novice* |
Rider Name: (First, Last)
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$100
+ $25 Jackpot |
50,000 Amateur* |
Rider Name: (First, Last)
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$100 + $25 Jackpot |
3,000 Novice Non-Pro* |
Rider Name: (First, Last)
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$50 |
Never Won a Buckle*** |
Rider Name: (First, Last)
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$50
+ $25 Jackpot |
2,000 Limited*** |
Rider Name: (First, Last)
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$50
+ $25 Jackpot |
500 Non Pro*** |
Rider Name: (First, Last)
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$50
+ $25 Jackpot |
Ranch Class*** |
| Drug Fee: |
$5.00/horse |
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| Voluntary Awards Donation : |
$
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* two head fresh cattle per horse *** three head re-run cattle per horse
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All Jackpot money will be paid in accordance with NCHA rules.
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| Comments? Anything special you want to tell the show secretary? You may write your note below and she will get it with your entry: |
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What
is your Email address? (we will send entry confirmation for
THIS HORSE):
If you do not include a VALID email address this
form will
NOT WORK!
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