Download Flier

Hawaiian Day

ENTRY FORM


This is NOT an online entry form. You must print this page and mail it in!
Rider:
Address:
City/State/Zip:
Phone:
E-Mail:
Birthdate:
Soc Sec #:
BBR #:
 Please complete all fields above (including Soc Sec # and Birthdate)!
Entries
List registered name of each horse. Negative coggins and health papers will be required for each horse at check-in)
 

Horse 1:

~ Incentive 1:


 

Horse 2:

~ Incentive 2:


 

Horse 3:

~ Incentive 3:


  Total:
@ $120ea.  =$
Incentive Fees: @  $30ea.  =$
Late Fee: @  $25ea.  =$
Stalls: @   $60ea. =$
Processing Fee : @  $20ea .  =$
TOTAL DUE :   $

All parties in the Summer ShootOut barrel race are responsible for reading the rules and conditions of the Summer ShootOut barrel race and fully understanding their contents. ShootOut Productions, Inc. assumes no liablility to those who have not read the conditions and, having not read these conditions, they are still held to their contents.

Signed:__________________________

Date

Send entry form w/ payment to:
  ShootOut Productions, Inc
   5650 N Broadway
   Norman, OK 73069

MakeChecks Payable to ShootOut Productions, Inc.

Entries not paid in full and postmarked by July 22, 2011, must be paid in cash or by money order (if mailed) and must include a $25 Late Fee per entry!