Barrel-racing-entry-form by hedongchenchen

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									                           Snake River Stampede Rope and Run
                                           Idaho Center Horse Park

                            4D Barrel Race                     July 13th at 5:00 pm
                                                 80% payback
        Top 2 in each D run during Matinee performance at the Snake River Stampede
                                on July 21st for additional pot!

Name
Phone #
Email
Address
City/State/Zip Code

Circle class(es) entering
          Horse          Open 4D Senior   Youth                $500 Nov    $1000 Nov    Pee Wee Office Charge   Total
                         $ 65.00 $ 20.00 $ 20.00               $ 20.00     $ 20.00      $ 10.00       $5.00
                         $ 65.00 $ 20.00 $ 20.00               $ 20.00     $ 20.00      $ 10.00       $5.00
                         $ 65.00 $ 20.00 $ 20.00               $ 20.00     $ 20.00      $ 10.00       $5.00

Carry over Open time to other classes?              Yes        No
$5 from fee out for matinee round                                         Late fee after 7/11/12

Pee Wee--10 and under Will run first.                                                  Total Due
Youth--High school and younger
Senior--50 and over

Entries after June 11th will be assessed a $5 late charge.
Release to be signed and money paid prior to start of race or racer will be drawn out.

Make Checks payable to 5D Productions

Mail to: 5D Productions
15274 Lake Avenue
Nampa ID 83651                                      Contact Skeeter or Stefanie Duby with questions.
                                                    (208) 989-8014 or (208) 989-8019

By signing this entry, I hereby release Snake River Stampede and 5D Productions and all those
affiliated with them (owners, employees and volunteers) from any claim or right to damages
or theft to my horse, rider, child or other property at this event. I understand there are risks in
any sport and take full responsibility for any incident that may occur.
                                                                          Date:
Contestant:
                                                                          Date:
Parent/guardian:

								
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