Night Jackpot Entry Form
No Online entries after 12:00 p.m. the day of the event!
Dashes are required in Phone# - Example: 555-555-5555
(** Must Present SSN Number at Arena in order to receive payback**)
Please check each event that will be entered for each horse.
Please note that a $5.00 office fee applies for each horse for each day
Jr. Barrels *
(18 and under)
2nd Open 4D
Office Fee *
*You may carry/roll over your time from previous class if you note it in the comments section what you want to do.
Questions or Comments
By checking this box I acknowledge that I am over the age of 18 and I agree and have read the
Hard Hat Release Waiver
Enter text as shown in image above
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