Memorial Weekend Spectacular - May 27 & 28, 2023 Entry Form -

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Rider's Name

First Name

Last Name

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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:

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

WAE finalist meeting 12:15 pm

quick drag

Flag presentation & WAE Finalist Presentation Grand entry - 12:50 pm quick drag

WAE Finals follows but not before 1:10 pm - $30 ($5 of entry goes toward added + $250 set) Should only run till 1:30 pm

Break after WAE Finals to figure points and do awards ceremony and MGTJ Buckles will be awarded from the January - May series.

Drag

Open 4D follows but NOT Before 2:30 pm - If runs a couple minutes late, please do not get mad at me - $35 EF 75% payback $500 added

For SUNDAY:

Exhibitions 11 - 12:30 - One at a time, keep in forward motion, no riding around arena $4 each

Church 12:35 - 1:05 pm - then drag

Flag Presentation approximately 1:30 pm

Announcements

Open 4D follows - $30 + $5 (goes toward added) = $35 EF There is $500 guaranteed. If there is a 100 entries, that is $5 each entry to make another $500 to give $1,000 added.

Mega sidepot barrel race only on Sunday - Your time will roll over from the open to this sidepot - $75 EF with 85% payback

SIDEPOTS FOR BOTH DAYS

Youth 2D - 17 & younger (1 second split) $25 EF - 75% payback

Senior 2D - 40 + years (1 second split) $25 EF - 75% payback

WAE 2023 - $30 EF ($5 of EF goes toward added). Do not have to be a WAE member to enter.

If prepaying entries, this must be done by 1 pm Friday, May 26, 2022. Pre entries, itself closes Friday, May 26 at 7 pm.

All information is on the Melissa's Good Timin Jackpot link at floridaequineathlete.com - This includes Rules, Policies, and Payouts are on these rules and policies.

Accident Waiver and Release Liability Forms are to be signed again for the 2023 year., if you haven't done so.

Everyone is welcome to run.

Entries paid at the show are CASH ONLY and please bring small bills. 10s, 5s, 1s are always a good thing!!

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

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How many Exhibitions for Saturday

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Horse's Name

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Saturday, May 27, 2023 Classesclick on each class wanted

Open ($35 for all) - Open to all - $35 EF - $500 added

Youth - 17 & under - $25 for all - 1 second split - roll over only

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 EF Roll over only. 2023 membership is due

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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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Saturday, May 27, 2023 Classesclick on each class wanted

Open - $35 EF - $500 added

Youth - 17 & under - $25 for all - Roll over only - 1 second split

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 going toward added = $30 Total EF; roll over only

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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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Saturday, May 27, 2023 Classesclick on each class wanted

Open - $35 EF - $500 added

Youth - 17 & under - $25 for all - 1 second split - roll over only

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 + $5 toward added = $30 Total Entry. roll over only

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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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How many Exhibitions for Sunday

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Horse's Name

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Sunday, May 28, 2023 Classesclick on each class wanted

Open - $30 + $5 (goes toward added) = $35 EF - $500 added guaranteed then plus the $5 per entry

Youth - 17 & under - $25 for all - Roll over only - 1 second split

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 + $5 toward added = $30 Total Entry. roll over only

Mega Sidepot Barrel Race - $75 EF with 85% payback

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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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Sunday, May 28, 2023 Classesclick on each class wanted

Open - $30 + $5 (goes toward added) = $35 EF - $500 added guaranteed then plus the $5 per entry

Youth - 17 & under - $25 for all - Roll over only - 1 second split

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 + $5 toward added = $30 Total Entry. roll over only

Mega Sidepot Barrel Race - $75 EF with 85% payback

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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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Sunday, May 28, 2023 Classesclick on each class wanted

Open - $30 + $5 (goes toward added) = $35 EF - $500 added guaranteed then plus the $5 per entry

Youth - 17 & under - $25 for all - Roll over only - 1 second split

Seniors - 40+ years - $25 for all - roll over only - 1 second split

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 + $5 toward added = $30 Total Entry. roll over only

Mega Sidepot Barrel Race - $75 EF with 85% payback

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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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If pre paying how would you like to pay for your entries

Paypal

Venmo

Cash App

FB Messenger

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If running the WAE sidepot, I am a WAE member

if running the WAE sidepot, I am not a WAE member (do not have to be a WAE member to run sidepot

I am not a WAE member but, I would like to be a WAE member

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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

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If you prepay entries and pre enter, you do not have to come up to the announcer's stand. Just text me at 863-398-6802 to let me know you are there.

If contestant is a minor, must have parent/guardian signature.

If you have not signed a release waiver, for the year you must do so.

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

Thank you for coming, see you on Memorial weekend, and drive safe.

Get ready for a great time!!