UBRA Jackpot Series 23/24

The Diamond Classic: UBRA Jackpot Series Entry Form

***MUST BE TURNED IN BEFORE THE HORSE RUNS IN THE EVENT***
Please note, the entry fee is for the entire series per horse/rider combo. Payout will be done once points have been tallied from all races in the series.

Points will be given to the top 5 riders in each D (5,4,3,2,1) and at the end of the series, the top 3 riders in each D will be paid out.

Dates for the Jackpot series are as follows:

·     Mon 11/13/23
·     Mon 11/27/23
·     Sun 12/10/23
·     Sun 12/17/23
·     Sun 12/31/23
·     Sun 1/7/24
·     Sun 1/28/24
·     Sun 2/4/24
·     Sun 2/18/24 Finals
Today's Date*

MonthDayYear
Date
Owner Name *

First NameLast Name
Owner Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
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Horse #1
Rider Name*

First NameLast Name
Horse's Registered Name*
Horses Registration #*
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.**

Cancelof
Notes

Horse #2
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Horse #3
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Horse #4
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Horse #5
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Horse #6
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Horse #7
Rider Name

First NameLast Name
Horse's Registered Name
Horses Registration #
Upload a COPY OF REGISTRATION PAPERS showing the current ownership per breed association.*

Cancelof
Notes

Event Entry Fee Please Make Sure Quantity Matches Amount Of Horses Entered:*

The Diamond Classic Jackpot Series Entry FeeAdded Money $5,000

$100.00 Quantity

Enter coupon

Total

$0.00

Please Acknowledge:*

I have verified that all information has been verified and correct. I understand that by failure to list all verified information or listing a barn name instead of a registered name may cause me to forfeit any winnings.
Please Acknowledge:*

I understand I must have nominated my horse before entry into events will be valid. Winnings will be forfeited if the horses are not nominated.
Please Acknowledge:*

I agree to The Diamond Classic terms & conditions
Hold Your Horses!! BEFORE SUBMITTING...

1) ALL HORSES MUST BE NOMINATED BEFORE EVENT REGISTRATION WILL BE VALID. CLICK HERE TO NOMINATE

2) Make sure you fill out a separate bonus money form for each individual owner/rider.

3) Be sure to check your email for confirmation. If you do not receive an email from us, please contact the office at 817-586-4339 or email info@thediamondclassic.com. Before you call, be sure to check your JUNK or SPAM email. The email will be from noreply@jotform.com.
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The Diamond Classic: UBRA Jackpot Series Entry Form