| KANSAS SUNFLOWER BARREL FUTURITY/DERBY AND OPEN 4D | ||||||||||
| SEPTEMBER 27-28, 2008 | ||||||||||
| SCOTT CITY, KANSAS | ||||||||||
| PRE-ENTRIES MUST BE POST MARKED BY SEPTEMBER 1, 2008 | ||||||||||
| Mail entries with fees to: Jeanette Meissinger, PO Box 843, Goodland, KS 67735. | ||||||||||
| Question: 785-899-7278 or cell phone 785-821-4227 email horses@millironm.com | ||||||||||
| Rider Name :_______________________________________ Email:__________________________________________ | ||||||||||
| Address:________________________________________City____________________State_______ Zip ____________ | ||||||||||
| Telephone :_____________________________ NBHA District _________ Mem # ____________Expires___________ | ||||||||||
| Futurity & Derby - please read the Futurity and derby rules. | ||||||||||
| 1. Derby & futurity horses MUST have a copy of registration papers (or proof of age) attached or late fees will apply. | ||||||||||
| 2. Open, Youth and PeeWee must enter both days to be eligible for average awards | ||||||||||
| Indicate Open, Youth, Futurity, Derby or PeeWee with an "X" | ||||||||||
| If Rolling times - Please write "Roll" in the appropriate Open Column. May roll Futurity/Derby or youth to Open | ||||||||||
| Futurity | Derby | Open $30/day | Youth $15/day | Peewee $5/day | Target Saddle | Total | ||||
| Horse's Registered Name | $150 | $100 | Sat | Sun | Sat | Sun | Sat | Sun | $20 | Fees |
| Timer/Arena Charge | $10.00 | |||||||||
| Exhibitions $5 each | ||||||||||
| Stalls $ hookups from below | ||||||||||
| Late Fee $10 (Open & youth) | ||||||||||
| Total Fees | ||||||||||
| BRING YOUR OWN SHAVINGS! STALLS ARE LIMITED - FIRST RESERVED, FIRST SERVED! | ||||||||||
| YOU WILL NEED TO CLEAN YOUR OWN STALLS BEFORE LEAVING | ||||||||||
| FRIDAY | SATURDAY | TOTAL | ||||||||
| STALL $15/Night | ||||||||||
| PEN $15/Night | ||||||||||
| Electric Hookup/$20/night | ||||||||||
| Total Stalls/Hookups | ||||||||||
| * Stalls, pens, electric hookups are limited and will be assigned as entries come in. | ||||||||||
| Pick up exhibition ticket at the office the day of the race. | ||||||||||
| Under Kansas Law, there is no liability for an injury to or the death of a participant in domestic animal activities resulting from | ||||||||||
| the inherent risks of domestic animal activities, pursuant to K.S.A. 60-4001 through 60-4004. You are assuming the risk of | ||||||||||
| participating in this domestic animal activity. | ||||||||||
| Date: _____________________________ | Signature:_________________________________________________ | |||||||||
| (Minor must have guardian sign) | ||||||||||
| KANSAS SUNFLOWER BARREL FUTURITY/DERBY AND OPEN 4D | ||||||||||
| SEPTEMBER 27-28, 2008 | ||||||||||
| SCOTT CITY, KANSAS | ||||||||||
| PRE-ENTRIES MUST BE POST MARKED BY SEPTEMBER 1, 2008 | ||||||||||
| Mail entries with fees to: Jeanette Meissinger, PO Box 843, Goodland, KS 67735. | ||||||||||
| Question: 785-899-7278 or cell phone 785-821-4227 email horses@millironm.com | ||||||||||
| Rider Name :_______________________________________ Email:__________________________________________ | ||||||||||
| Address:________________________________________City____________________State_______ Zip ____________ | ||||||||||
| Telephone :_____________________________ NBHA District _________ Mem # ____________Expires___________ | ||||||||||
| Futurity & Derby - please read the Futurity and derby rules. | ||||||||||
| 1. Derby & futurity horses MUST have a copy of registration papers (or proof of age) attached or late fees will apply. | ||||||||||
| 2. Open, Youth and PeeWee must enter both days to be eligible for average awards | ||||||||||
| Indicate Open, Youth, Futurity, Derby or PeeWee with an "X" | ||||||||||
| If Rolling times - Please write "Roll" in the appropriate Open Column. May roll Futurity/Derby or youth to Open | ||||||||||
| Futurity | Derby | Open $30/day | Youth $15/day | Peewee $5/day | Target Saddle | Total | ||||
| Horse's Registered Name | $150 | $100 | Sat | Sun | Sat | Sun | Sat | Sun | $20 | Fees |
| Timer/Arena Charge | $10.00 | |||||||||
| Exhibitions $5 each | ||||||||||
| Stalls $ hookups from below | ||||||||||
| Late Fee $10 (Open & youth) | ||||||||||
| Total Fees | ||||||||||
| BRING YOUR OWN SHAVINGS! STALLS ARE LIMITED - FIRST RESERVED, FIRST SERVED! | ||||||||||
| YOU WILL NEED TO CLEAN YOUR OWN STALLS BEFORE LEAVING | ||||||||||
| FRIDAY | SATURDAY | TOTAL | ||||||||
| STALL $15/Night | ||||||||||
| PEN $15/Night | ||||||||||
| Electric Hookup/$20/night | ||||||||||
| Total Stalls/Hookups | ||||||||||
| * Stalls, pens, electric hookups are limited and will be assigned as entries come in. | ||||||||||
| Pick up exhibition ticket at the office the day of the race. | ||||||||||
| Under Kansas Law, there is no liability for an injury to or the death of a participant in domestic animal activities resulting from | ||||||||||
| the inherent risks of domestic animal activities, pursuant to K.S.A. 60-4001 through 60-4004. You are assuming the risk of | ||||||||||
| participating in this domestic animal activity. | ||||||||||
| Date: _____________________________ | Signature:_________________________________________________ | |||||||||
| (Minor must have guardian sign) | ||||||||||