Taylor
Junior 4D and WPRA Sidepot
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
I would like to enter:
Saturday open 4D $40
Saturday WPRA sidepot $30
Sunday open 4D $40
Sunday WPRA Sidepot $30
Office/Award Fee:
Saturday $10
Sunday $10
I will be carrying from:
High school
Junior High
WPRA Number (there’s glitch please @msn.com to the number)
Payments will be accepted through Venmo or Zelle, races will be paid back via Venmo and Zelle.
Venmo Jenna-Cadwallader-Duhon
Zelle 602-615-7663
I agree entrant is 17 years old or younger as of October 1, 2023. Signature:
Clear
Submit
Should be Empty: