Make sure this form is filled out in full.

*By signing below, I am purchasing one of the slots for the JJ Arena Slot Race.

I plan to enter the UBRA Tour Open or Youth Barrel Race

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 ______________________________________

JJ Arena Slot Race ENTRY (horse information) 1 entry form per horse please.

Horse’s Reg Name Sex Color
Breed Registration # Year Foaled
Sire Dam Brand

Payments:
$100 check or $105 credit card/paypal. Entries to be postmarked May 1st-May 18th.

Payout is based on 20+ entries. If there are less than 12 entries, the slot race will be cancelled. If there are 13-19 entries the payout will be figured based on 80% payback.

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

Or Pay via Credit Card (5% fee); Contact Jessica at (715) 857-6343 or Jessica@ubra.org

Show Schedule and Updates will be available at www.UBRA.org

JJ Arena UBRA Tour #2 Slot Race $2,000 Purse ~ 2D Half Second ~ Open to Everyone! May 26th, 2008 JJ Arena Balsam Lake, WI $100 entry fee, 25 slots

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 ______________________________________

JJ Arena UBRA Tour #2 Slot Race
$2,000 Purse ~ 2D Half Second ~ Open to Everyone!
May 26th, 2008
JJ Arena Balsam Lake, WI
$100 entry fee, 25 slots

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 ______________________________________