3D___WBRA by xiagong0815

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									        Sunday, July 17, 2011                                                    2-2 BARREL RACING
     Sunday, August 28, 2011                                                            Luke & Kara Simpson (509) 438-6666 or (509) 430-5600
                                                                                                403 9th Street, Benton City, WA 99320

Name: ____________________________________________                                                     Cell: ____________________________                            Phone: ______________________

Address: ____________________________________________________________                                                                       Email: _________________________________________

                   CIRCLE EACH ENTRY NEXT TO HORSE(S) NAME THAT YOU ARE ENTERING
   1ST       ROUND WBRA RACES          JACKPOT  2000    1000   500    250    100
                                OPEN    NOVICE NOVICE  NOVICE NOVICE NOVICE NOVICE TOTAL ENTRY $$$
               ADDED $$$                                       $50
                                $100            $100
HORSE #1                                                                  $35                  $25                 $25              $20               $20      $15         $15
HORSE #2                                                                  $35                  $25                 $25              $20               $20      $15         $15
HORSE #3                                                                  $35                  $25                 $25              $20               $20      $15         $15


   2ND ROUND WBRA RACES                                                             JACKPOT                2000               1000             500           250       100
                                                                                     NOVICE               NOVICE             NOVICE           NOVICE        NOVICE    NOVICE       TOTAL ENTRY $$$
         ADDED $$$                                                                                         $100                                $50
HORSE #1                                                                                       $25                 $25              $20               $20      $15         $15
HORSE #2                                                                                       $25                 $25              $20               $20      $15         $15
HORSE #3                                                                                       $25                 $25              $20               $20      $15         $15


 3D JACKPOT (NO SANCTION) PROGRESSIVE $300
     ADDED, 50+ $500, 75+ $750, 100+ $1000 Horse #1 _________________________________ $50                                                   Horse #2 ________________________________ $50
WBRA OFFICE FEES - OPEN = $10 PER HORSE ENTRY                                                                                                                                    TOTAL 1st Round
WBRA OFFICE FEES - ALL NOVICE CLASSES = $7 EACH HORSE/RACE COMBINATION                                                                                                           TOTAL 2nd Round
3D JACKPOT OFFICE FEES - $10 PER HORSE ENTRY                                                                                                                                     TOTAL 3D Jackpot
In submitting my entry, I hereby release 2-2 BARREL RACING, Luke &/or Kara Simpson &/or family members, City of Benton City,                                                     TOTAL Office Fees
and All hired/volunteer race helpers/vendors/crew, from any claim or right to damages, which may occur to me, my horse, my child or                                              TOTAL Time Onlies
children or other property at this event. I realize there are certain risks in any sport and I take full responsibility for myself and/or my child,                              ($5 each or 3 for $10)
if an incident should occur. It is also understood that by signing this entry, I have read, understand and agree to abide by all the rules.                                      TOTAL PAYMENT
Date ___________________ Signed___________________________________________________________________________                                                                       CHECK # or CASH
(Parents sign and print parent's name, if minor child: ______________________________________________________________)                                               Checks Payable to Luke Simpson

								
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