FEABRA Show #2 - March 19, 2023 Entry Form -

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Rider's Name

First Name

Last Name

2

Emailrequired please

example@example.com

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Address - OptionalThis is for office if you leave before payout so winnings can be mailed.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Phone Numberoptional

Area Code

Phone Number

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Entry fees & classes:

Exh 11:00 am - 12:30 pm SHARP $4 EACH - One at a time, no riding around arena, keep forward motion

Church 12:35 pm - 1:05 pm

Pee Wee 1:20 pm $5 EF - Must be entered by 1 pm - Ribbons only are given (10 & younger - beginners only)

Open 4D - follows Pee Wee but not before 1:30 pm- EF $30 EF + $5 for added = $35 FOR ALL

Youth 2D follows (may roll over from open or run) - 17 & younger - $25 for all - 1 sec split - must have more than 5 entries to be 2D payout; otherwise, 1st place wins all

Sidepots:

Senior 2D - 40 + years - $25 for all - 1 sec split - must have more than 5 entries to be 2D payout; otherwsie, 1st place wins all

WAE 4D - $25 EF + $5 goes toward added money = $30

If prepaying entries, this must be done by 1 pm Friday, March 17, 2022.

If pay ef's at show, it is cash only and please bring small bills. 10s, 5s, 1s are always good

Pre entries, it self closes Saturday 9pm, March 18th

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Youth Rider's Birth Date:Must be 17 or under

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How many Exhibitions

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Horse's Name

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Classesclick on each class wanted

Pee Wee (10 & younger) - Beginners only - $5

Open ($30 ef + 5 toward added = $35 total, for all) - Open to all

Youth - 17 & under - $25 for all - must have more than 5 entries to be 2D payout with one second split; otherwise, 1st place wins all

Seniors - 40+ years - $25 for all - roll over only - must have more than 5 entries to be 2D payout with one second split; otherwise, 1st place wins all. Roll over only

WAE 4D - do not have to be a member to run; but, if want points to go to the WAE finals, you must be a member - $25 EF + $5 of the EF goes toward added. Roll over only

If entering Youth, check here if rolling over time from the open

If entering Youth, check here if physically running

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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Horse's Name

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Classesclick on each class wanted

Pee Wee (10 yrs & younger) - Beginners only - $5

Open ($30 ef + $5 toward added = $35 total) Open to all

Youth - 17 & under - $25 for all - must have more than 5 entries to be 2D payout; otherwise 1st place wins all

Seniors - 40+ years - $25 for all - roll over only - must have more than 5 entries to be 2D payout with one second split; otherwise, 1st place wins all. Roll over only

WAE 4D - do not have to be a member to run; but, if want points to go to the WAE finals, you must be a member - $25 EF + $5 toward added = $30 Total. roll over only

If running Youth, check here if rolling over time from the open

If running YOuth, check here if physically running

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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Horse's Name

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Classesclick on each class wanted

Pee Wee (10 yrs & younger) - Beginners only - $5

Open ($30 EF + $5 to go towards added = $35 total ) - Open to all

Youth - 17 & under - $25 for all - Must have more than 5 entries to do 2D payout; otherwise, 1st place wins all

Seniors - 40+ years - $25 for all - roll over only - must have more than 5 entries to be 2D payout with one second split; otherwise, 1st place wins all. roll over only

WAE 4D - do not have to be a member to run; but, if want points to go to the WAE finals, you must be a member - $25 EF +- $5 toward added = $30. roll over only

If entering Youth, click here if rolling over time from the open

If entering Youth, click here if physically running

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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Payment TypeYou can either prepay entries or pay at show. An email will be sent to you with your total and the options of how to pay. A small fee may apply depending on how prepay.

Would like to PrePay entries

Pay at show

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Thank you for pre entering. If you are wanting to prepay, this must be done by 1 pm, February 18th, Friday. You can prepay by sending with Venmo, paypal, or cash app.

With pre entering and prepaying, you do not have to come up to the announcer's stand. Just text me at 863-398-6802 and let me know you are there. Please include rider's name as I do not have everyone's phone number listed in my phone.

If you purchased exhibitions, your name will be on a list with the person working at the gate, with the number of exhibitions you purchased.

Thank you for coming and drive safe.

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Type a question

FEABRA 2023 member

FEABRA nonmember

Would like to be a FEABRA member

WAE 2023 member

WAE nonmember

Would like to be a World Athlete Entrepreneur member

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If prepaying entries, how did you want to pay?

Paypal - drmgreer@gmail.com (friends and family)

Venmo @Melissa-GreerPhD-1

Cash App - $FLEquineAthlete

FB Messenger

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NEW POLICY

If you pre enter only (not prepay), You must be signed in by 1:05 pm OR have texted or called to let me know that you are coming. Or, you will lose your number in the draw.

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In accepting this entry, the applicant hereby releases and discharges the Florida Equine Athlete, all officers, personnel, representatives, employees, agents, Melissa Greer Ph.D., host arenas, arena owners, and family members from liability, loss, claims, damages, and/or expenses for injuries or death to person, animal, property, family member(s), friends, or anyone affiliated with applicant, reputations, or financial conditions as a results of, or in any way, relating to applicant’s participation or nonparticipation in FEABRA or Melissa's Good Timin Jackpot sanctioned event whether caused by negligence, arena conditions, and/or by the conduct of the Florida Equine Athlete, Melissa Greer, PhD or arena hosts, owners, officers, etc.PLEASE BE SURE TO MARK THE BOX BELOW.

I have read, understood, and accepted the above waiver statement for entry and participataion of this show.

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Signature For Youth entries, this form MUST be signed by parent or guardian; I will need a parent or guardian to verify this permission at the day of the show, and/or sign at show.

Clear

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Date signed