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Pre-entry
form
NBHA
sanctioned run for Dist. 03
Foothills
Arena
Wessington
Springs, SD 57382
July 4,
2008
Forms must
be postmarked by June 30th to be in the pre-entry draw.
Late
entries the day of the barrel race will be at the bottom of the
pre-entry draw.
Mail forms
to: Jean Shultz, 22758 377th Ave., Wessington Springs,SD
57382
Phone:
Home – 539-1585 Cell- 999-1361
Name______________________________________NBHA
#______________
Address_____________________________________St.______Zip__________
Phone_______________________email________________________________
Please complete one form for each horse
entered.
You may
carry over your time from the NBHA Open to the SDBRA run.
Horse’s
name_____________________________________________________
Class: (circle one) Open Youth
Senior PeeWee SDBRA Exhibitions
EF: NBHA Open - $27.00 __________
NBHA Youth- $23.00
__________
NBHA Senior- $23.00
__________
PeeWee - $ 3.00
__________
Exhibitions - $ 5.00
__________
SDBRA - $27.00
__________
Non-member - $10.00
__________ (one time fee per day)
Total
Amt. __________
________________________________________________________________________
In submitting my entry I hereby release the barrel
race organizer, NBHA/SDBRA and official, employees, director or agent of
same from any claim or right for damages which may occur to me or my
horse or other property at this barrel race.
(Signature (Must be signed by parent/guardian for
minor)
____________________________________________________________
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