flyer/entry form

$5600 ADDED
APRIL 17-19, 2015
OPEN 4D WITH SAT SIDEPOTS
Lazy E Arena
Guthrie, Oklahoma
PRE ENTRY MAIL DEADLINE
LAZY 3 FUTURITY DEADLINE
April 3, 2015
$6000 BRIF BONUS MONEY
SIDEPOT FOR ELIGIBLE HORSES
SATURDAY OPEN
OPEN 4D
ONLINE ENTRY DEADLINE
April 11, 2015
$4000 ADDED
5 & UNDER FUTURITY
WWW.BARRELBASH.COM
FMI on BRIF ww.barrelracingincentivefund.com
918-617-0660
USE THIS FORM TO ENTER LAZY E FUTURITY (MAX 2 HORSES PER FORM)
ENTRY DOES NOT INCLUDE STALL (stalls $60 Fri-Sun) Early arrivals may come in after 4 pm Thursday ($20 extra fee for Thurs arrival pay Lazy E Staff on site)
Total Entry Fee $310 ENTRY INCLUDES 2 GOS LAZY 3 FUTURITY (SAT AND SUN) plus ROLL OVER ENTRY FEE ON FUTURITY HORSE TO OPEN 4D BARREL BASH ™ SAT AND SUN
($55 EACH) AND OFFICE FEE AND 1 EXHIBITION FRIDAY 2 PM. NO REFUNDS AFTER ENTRY DEADLINE. LATE FEE (AT SHOW IS $50 PER FUTURITY ENTRY). MAIL DEADLINE IS
MARCH 20, 2015 (after March 20 $50 late fee applies—NO REFUNDS AFTER ENTRY DEADLINE) (Futurity payback is 75% of the $180 entry fee (paidback 25% each go and
50% avg) Go 1 and Go 2 will payback on 2D full sec split (70/30 split) Average is straight open payback.
MUST SEND A COPY OF PAPERS WITH ENTRY OR IT WILL BE RETURNED! W9 required (in owners name to issue futurity checks) (in riders name to issue 4D checks).
FUTURITY HORSE—5 & under and not competed prior to Dec 1, 2014. Must be registered or have a veterinary age verification prior to entering. Horse will need to be numbered before entry deadline 9 am Sat. RIDER MAY BE CHANGED AT ANY TIME (before race begins) PLEASE NOTIFY OFFICE OF RIDER CHANGES. FAILURE TO NOTIFY OFFICE
MAY RESULT IN DQ. HORSE CHANGES ARE NOT ALLOWED FOR ANY REASON. NO VET/DR REALEASES NO HORSE SUBS.
FOR FULL SCHEDULE AND BARREL BASH (OPEN 4D DETAILS PLEASE SEE www.barrelbash.com FOR OPEN 4D ENTRY FORM)
CHECK IN Fri 11-1pm (and Sat 8:30-9 am) //
Free Exhibition Fri 2 pm//
Futurity 1st go Sat 12 pm//
Futurity 2nd go Sat 9:30 am
HORSE1 NAME _______________________________________________ DATE OF BIRTH________________________SIRE ______________________________________
DAM’S SIRE __________________________________________________IS HORSE PAID INTO BRIF (OPEN BONUS $) ____________________________________________
OWNER (NAME AND ADDRESS )__________________________________________________________________________________________________________________
RIDER (NAME AND ADDRESS )____________________________________________________________________________________________________________________
PHONE ______________________________________________ EMAIL ____________________________________________ ENTRY FEE $310
*******************
HORSE 2 NAME _______________________________________________ DATE OF BIRTH_______________________SIRE ______________________________________
DAM’S SIRE __________________________________________________IS HORSE PAID INTO BRIF (OPEN BONUS $) ____________________________________________
OWNER (NAME AND ADDRESS )__________________________________________________________________________________________________________________
RIDER (NAME AND ADDRESS )____________________________________________________________________________________________________________________
PHONE ______________________________________________ EMAIL ____________________________________________ ENTRY FEE $310
EXTRA STALLS $ 60 EACH (GOOD FRI-END OF SHOW SUN) ___________ X $60 = $__________
MAIL FUTURITY PAYMENT TO DOUBLE B PRODUCTIONS LLC—PO BOX 306—CHECOTAH OK 74426 (MUST INCLUDE COPY OF PAPERS)
If you wish to pay by credit card please fill out the information below (additional 3% fee will be added to total)
NAME ON CARD _______________________________________________ CARD # ______________________________________________________ EXP DATE__________
ZIP CODE OF BILLING ADDRESS __________________________ PHONE # OF CARD HOLDER _____________________ TOTAL $ TO PROCESS ADD 3% $____________

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