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 Memorial 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 Memorial Day 2D Race $2,100 Purse w/ 25 entries 2D Half Second ~ Open to Everyone! May 26th, 2008 JJ Arena Balsam Lake, WI $100 entry fee 80% payback. $100 Added. NO LIMIT ON ENTRIES

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 Memorial Day 2D Race
$2,100 Purse w/ 25 entries
2D Half Second ~ Open to Everyone!
May 26th, 2008
JJ Arena Balsam Lake, WI
$100 entry fee 80% payback. $100 Added. NO LIMIT ON ENTRIES

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 ______________________________________