2007 UBRA Tour Stop #3 Rhino Arena June 22-24th
PLEASE PRINT FORM OUT & MAIL WITH PAYMENT TO: UBRA; 960 Bunyan Ave, Balsam Lake, WI 54810
Pre-enter by June 8th to be included in program, online draw, reserve stalls and save $. Late entries accepted on site. No late fees.

One Form Per Rider - OPEN TO ANYONE AND HORSES OF ANY AGE!

Name:

Phone :

Social Security #

UBRA #

Address:

City

State, Zip:

Email :

Write your horses name / names in the spaces below.

FRIDAY
SATURDAY
SUNDAY
Friday 1st Open 4D
$20 Entry Fee
Division Awards

Saturday Open 4D 1st Class
$50 Entry Fee
$2,500 Added & Division Awards

Sunday Open 4D 1st Class
$50 Entry Fee
$2,500 Added & Division Awards

1.

1.

1.

2.

2.

2.

3.

3.

3.

Friday Youth 4D
$10 Entry Fee
Division Awards

Saturday Youth 4D
$10 Entry Fee
Division Awards

Sunday Youth 4D
$10 Entry Fee
Division Awards

1.

1.

1.

2.

2.

2.

3.

3.

3.

Friday 2nd Open 4D
$20 Entry Fee
Saturday 2nd Open 4D
$20 Entry Fee
Sunday 2nd Open 4D
$20 Entry Fee

1.

1.

1.

2.

2.

2.

3.

3.

3.

Total Entry Fees: $ __________  
Office Fee:
$15
 Processing Fee Per person ($15 per day for on site entries)
Other $ __________ Shavings Must use shavings on grounds ($6 per bag), Electrical hook-up ($30 wknd, $25 per night)
Stall Fee: $ __________ $45 for the first stall, $35 for each additional stall
Total Fees: $ __________ Tie Outs are NOT ALLOWED FOR OVERNIGHT USE - YOU MUST HAVE A STALL
Make Checks Payable to: UBRA ~ Send entries & checks to: UBRA; 960 Bunyan Ave, Balsam Lake, WI 54810

I understand the United Barrel Racing LLC and Rhino Arena are not responsible for any loss or damage that may occur to me, my horse, and any of my family members or property. It is my responsible to carry insurance on all this things and I agree to hold harmless United Barrel Racing LLC and Rhino Arena for any loss that I may incur at this event.

_______________________________________________ Date ____________
Signature (18 or under parent or legal guardian must sign

We're glad you're coming - drive carefully!  Questions contact Jessica (715) 857-6343 or info@ubra.org