| INDIVIDUAL
MEMBERSHIP: ($30.00 per
person) |
|
NAME:____________________________________________
|
|
DATE OF BIRTH:__________
|
AGE:____ |
|
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Eligible for $500
Novice Rider Barrels?
NO YES
(Circle One) |
|
|
IF YES,
you must specify the amount of money won in BARREL
RACING as of today's date. (You must have won less
than $500 in BARREL RACING to be eligible to
ride in this class.) |
| |
|
I hereby declare that the
person named above has won $________________ in barrel racing and is
eligible to ride in the $500 Novice Rider
Barrels. |
|
SIGNATURE:________________________________________________ |
| |
| FAMILY
MEMBERSHIP: ($65.00 per family - MUST live in same household) |
| FAMILY'S LAST NAME: |
|
|
|
|
|
|
|
|
|
ELIGIBLE FOR $500 NOVICE RIDER |
|
FIRST NAME |
|
AGE |
|
D.O.B. |
|
BARRELS?
(please circle) |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| 1 |
|
|
|
NO
YES - AMOUNT WON $ |
_______ |
| |
|
IF ELIGIBLE
for $500 Novice Rider Barrels, you must specify the amount of money won
in BARREL RACING
as of today's date.
(You must have won less
than $500 in BARREL RACING to be eligible to
ride in this class.) |
|
|
I
hereby declare that the person(s) named above has/have won the declared
amount of money in barrel racing and is/are eligible to ride in
the $500 Novice Rider Barrels. |
| |
|
SIGNATURE:______________________________________________________________
|
| |
| PLEASE FILL IN COMPLETELY (Please Print Legibly): |
|
| |
|
MAILING
ADDRESS:_____________________________________________________________
|
|
CITY:_______________________
|
STATE:_____________
|
ZIP CODE:________ |
|
E-MAIL ADDRESS:______________________________________________________________
|
|
(Updates,
Newsletters & Other Information will be e-mailed to you.
This saves on the cost of copying & postage, which allows more money to go
towards awards. Please be
sure to print your e-mail address legibly.) |
|
DATE:___________________________________________
|
Forms to be printed: (.pdf format)
Membership Form
Novice Horse Declaration Form
Exhibition Form
Open 4D Form
Entry Form
Novice Horse Earning Statement Form
|
|
