Washington County Fair Barrel Race

BARREL RACE
JACKPOT DATE*

MonthDayYear
Date
Rider*

First NameLast Name
Rider Date of Birth*

MonthDayYear
Date
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Comments: example, which horse to run first
Horse 1 Registered Name
Horse 1 Entries

Open 4D Barrels - $35FYH (Carry Over) - $15Senior 3D (Carry Over) - $15Senior 3D (Run) - $15Middles 3D (Carry Over) - $15Youth 3D (Run) - $15Youth 3D (Carry Over) - $15Jr Barrels - $10Open 2D Poles - $15Jr Poles - $10
Horse 1 Total
Horse 2 Registered Name
Horse 2 Entries

Open 4D Barrels - $35FYH (Carry Over) - $15Senior 3D (Carry Over) - $15Senior 3D (Run) - $15Middles 3D (Carry Over) - $15Youth 3D (Run) - $15Youth 3D (Carry Over) - $15Jr Barrels - $10Open 2D Poles - $15Jr Poles - $10
Horse 2 Total
Horse 3 Registered Name
Horse 3 Entries

Open 4D Barrels - $35FYH (Carry Over) - $15Senior 3D (Carry Over) - $15Senior 3D (Run) - $15Middles 3D (Carry Over) - $15Youth 3D (Run) - $15Youth 3D (Carry Over) - $15Jr Barrels - $10Open 2D Poles - $15Jr Poles - $10
Horse 3 Total
Horse 4 Registered Name
Horse 4 Entries

Open 4D Barrels - $35FYH (Carry Over) - $15Senior 3D (Carry Over) - $15Senior 3D (Run) - $15Middles 3D (Carry Over) - $15Youth 3D (Run) - $15Youth 3D (Carry Over) - $15Jr Barrels - $10Open 2D Poles - $15Jr Poles - $10
Horse 4 Total
Barrel Time Onlys - $2
Quantity
Barrel Time Only Total
Pole Time Onlys - $2
Quantity
Pole Time Only Total
Signature of Participant or Legal Guardian

Clear
Total owed
Payments must be submitted by Venmo @swbra or Facebook Messenger.

Entry is complete when your payment is received.
Should be Empty:

BARREL RACE