Entry Form

Trophy Buckles
to D Winners on
Sat & Sun
Double Points/Qualifier
Print Clearly
Schedule of Events:
Name:________________________________________
FRIDAY PREP RACE - 5D $1000 Added $$$
Address: _____________________________________
Exhibitions: 1pm - 6pm - Enter when you get there
Friday Prep Race Begins @ 7 pm
SATURDAY RACE - 5D $2,250 Added $$$
City, State, Zip:________________________________
Ride Arounds: 9:30 am - 11:30 (1/2 hr open arena w/ barrels limited to 10 riders per session.) Enter when you get there.
Race Begins at 12 noon SUNDAY CHURCH SERVICE - 8:30
Phone#:______________________________________
Email:________________________________________
SUNDAY RACE - 5D $2,250 Added $$$
Begins at 10am MUST HAVE NEGATIVE COGGINS/HEALTH
PAPERS - BE PREPARED TO SHOW
DOB:_____________ BBR#:______________
(Must include BBR # for points credit)
IF YOU WANT TO RUN TOGETHER - ENTRIES MUST
BE SENT IN TOGETHER – NO EXCEPTIONS!!!
Classic Equine
Race Classes
For RV Reservations
Contact the Somervell Co Expo office @
254-897-4509
HORSES REGISTERED NAME
FR
ID
A
Y
N
IG
H
T
SA
TU
SU RD
N AY
D
R
A
A
Y
RA CE
B
-1
C
B
E
2
R
pm
-1
M
0
em
am
be
YO
rI
nc
UT
en
H
tiv
R
ID
e
ER
A
D
UL
-1
T
6
an
R
ID
d
ER
SE
un
N
de
-1
IO
r
7
R
-4
R
9
ID
ER
50
+
4D Incentive Classes
$35
$45
$50
$50 ## $20
$20
$20
$20
Subtotals
FRIDAY HORSES
1
$
2
$
3
SATURDAY HORSES
$
1
$
2
$
3
SUNDAY HORSES
$
1
$
2
$
Total
$
$
For Further Info Contact Show Producers
Processing Fee
817-563-RACE (7223)
Late fee - after 9/27 $15
Stalls - $25 per day
Mail Entry To: Win More Productions
# of days
c/o Destry Fleming & Corky Barder
Shavings $10 bag 1 bag min/stall # bags
If paying by credit card, MUST add 5% service fee $
PO Box 371 - Mansfield, TX 76063
email: [email protected]
(Note - stall check out is 1pm)
Total - $
3
IDENTIFICATION AND RELEASE OF PERSONAL INJURY/By signing this document and by making
entry as a participant, I hereby understand that injury/death to myself, my horse, or my child is a possibility
no matter how careful the sponsors, officers, directors or participants may be. And furthermore, I as a
participant (or parent/guardian), agree to hold harmless Win More Productions LLC and/or Better Barrel
Races LLC and it’s officers, agents, management, contractors and employees from any expense, cause of
action, damage or claim of damage (including legal fees) of any kind whatsoever which I might assert as a
result of my (or my child’s) injury, death or claim.
$20
NEW ENTRY OPTION - Fax Us Your Entry - 817-409-1837
Card # _______________________________________(Visa/MC/DISC)
Name on Card __________________________________________
Exp Date __________ 3 digit code _________ (from back of card)
(Credit Card subject to a 5% conv. charge paid to WinMore Prod.)
Signature:_________________________________________________ Print Name:__________________________________ Date:______________________
IF CONTESTANT IS UNDER 18 YEARS OF AGE: Signature of Parent or Legal Guardian is required above.
By signing, I acknowledge that I have read, agree to
and understand not only the event rules, but also the above statement; If authorizing a credit card to be charged- I acknowledge the 5% convenience charge.