Barrel Bonanza Futurity & Derby
September 13th & 14th, 2008 Simon Arena Cannon Falls, MN

1 Form Per Horse

Note – You must have a copy of your horse’s registration papers (front and back) with this nomination form. If you are not the owner listed on the papers, the OWNER must sign.  NO REFUNDS FOR ANY REASON. Horse substitutions allowed until Sept 13 at 8:30am, 2008 with $25 sub fee. $10 late fee for payments. $25 late/on site fee for onsite entries.

Make sure this form is filled out in full.
*By signing below, I am nominating the following horse to the Barrel Bonanza Futurity/Derby.
I am entering the Futurity: My Futurity Horse has not competed in barrel racing competition prior to 12/01/07. Owner & rider must sign. I understand that there are no refunds for any reason.
I am entering the Derby and my horse is 7 or under as of 1/1/08. Owner & rider must sign. I understand that there are no refunds for any reason.
My horse is nominated to the NRF Tour which I may qualify for by earning points at this event.
I would like information on the NRF Tour which I may qualify for by earning points at this event.

OWNER
Owners’ Name Owner’s Social Security #
Address City State Zip Phone
*Signature Owner __________________________________

RIDER

Rider’s Name Rider’s Social Security #

Address City State Zip
Phone *Signature Rider __________________________________

HORSE INFORMATION - 1 entry form per horse please.

Horse’s Reg Name Sex Color

Breed Registration # Year Foaled

Sire Dam Brand

I would like to carry my futurity/derby (circle) time over to the 1st Open 4D Saturday and Sunday.

2D Full Second Futurity Nomination Fee                                          $100  $
2D Half Second Derby Nomination Fee                                             $100  $
Office Fee                                                                                                              $
Stall fee $50                                                                                                          $
Late Fee $25                                                                                                         $
Tie Outs are NOT ALLOWED FOR OVERNIGHT USE - YOU MUST HAVE A STALL
Total Fees with this payment                                            ck #_______       $

  MAIL PAYMENT TO: UBRA, LLC - 960 Bunyan Ave, Balsam Lake, WI 54810

QUESTIONS – CALL Jessica (715) 857-6343 or info@ubra.org
 

Show Schedule and Updates will be available on www.BarrelBonanza.com

   

 

Send application, check or money order to: UBRA, LLC - 960 Bunyan Ave, Balsam Lake, WI 54810