Top Notch Barrel Productions

Name:		Phone:
Soc Sec#:		E-mail:
Address:		Work Phone
City/St/Zip:		AMW#

Please Read and Sign
In submitting my entry, I hereby release the show organizer, the Top Notch Barrel Production co., the American West 4D Inc. staff and any official , employee, director, or agents of same, and any one else from any claim or right for damages, which may occur to me, my horse, my child, or other property at this event. I realize there are certain risks in any sport, and I take full responsibility for myself and/or my child if an incident should occur. It is also understood that by signing this entry, I have read, understand and agree to abide by all the rules.
Contestants signature ___________________________________ Date ______________________________
Signature of parent or guardian if contestant is a minor.
_____________________________________________________ Date ______________________________

Saturday, April 12, 2004 Race 1 $1,000 added @11:00am $35 EF per horse	Sunday, April 13, 2004 $1,000 added @11:00am $35 EF per horse	Saturday, April 12 - $25 ef Senior or Youth classes - 4D format with $100 added each class. YTH 15 yrs & under (1/1/04) or Sr. 50 yrs or older (1/1/04). Circle Class: Put a CO by the horses name if you want to carryover your open time
1.	1.	1.
2.	2.	2.
3.	3.	3.
4.	4.	4.

Be sure to post mark entry fee's by April 9, 2004 to avoid late fee**
ONE PROCESSING FEE $15.00
TOTAL # entries For Race 1 & 2 ______ @ $35 ea=_______
TOTAL # entries For Youth/Senior 4D ______ @ $25 ea=_______
TOTAL # of stalls $25 per night or $35 for weekend _____ One Time Processing Fee of $15.00 per contestant __$15.00_
LATE FEE charged-see below for total cost ________
**A contestant who enters more than one horse, only has to pay (1) late fee
**$10.00 a day, LATE FEES APPLY
TOTAL FEES PAID=_______
Make checks payable to: Top Notch Barrel Productions, PO Box 5294, Grandbury, TX. 76049
Further information contact: 817-817-307-0095 or saaranch@hotmail.com