LOUISIANA FUTURITIES

LOUISIANA FUTURITIES
TO BE RUN AT THE FAIR GROUNDS, NEW ORLEANS, LA. ELIGIBILITY PAYMENTS DUE ON OR BEFORE JULY 1, 2024

2024 FUTURITY - 3RD ELIGIBILITY PAYMENT - $100.00 FOALS OF 2022

	BREEDER	NAME OF HORSE	SIRE	DAM	SEX OF FOAL	OWNER (If different from Breeder)
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2025 FUTURITY - 2ND ELIGIBILITY PAYMENT - $50.00 FOALS OF 2023

	BREEDER	NAME OF HORSE	SIRE	DAM	SEX OF FOAL	OWNER (If different from Breeder)
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2.
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2026 FUTURITY - 1ST ELIGIBILITY PAYMENT - $50.00/$200 FOALS OF 2024

	BREEDER	NAME OF HORSE	SIRE	DAM	SEX OF FOAL	OWNER (If different from Breeder)
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2.
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MAKE CHECK PAYABLE TO LOUISIANA FUTURITY.

THIS IS NOT A NOMINATING FORM.

NO SUPPLEMENTARY NOMINATIONS
Nomination of Mares..................$10.00 due December 31st of year bred
(Not due with this form)
*1st Eligibility...........................$50.00 due July 1st of year of birth or a one time payment of $200 (no refunds, covers all eligilibility payments)
2nd Eligibility............................$50.00 due July 1st of yearling year
3rd Eligibility.............................$100.00 due July 1st of 2-year-old year

Entry and Starting fees due at normal time for race.
SIGNATURE OF PAYER

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STREET ADDRESS*
CITY, STATE, ZIPCODE*
Schedule of Payments*
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1st eligibility $50 @ year of Birth
$50.00 Quantity



Full Payment $200 @ year of Birth
$200.00 Quantity



2nd eligibility $50 @ yearling year
$50.00 Quantity



3rd eligibility $100 @ 2-year-old year
$100.00 Quantity



Total

$0.00
If you have any questions concerning eligibility of your horses,
please call: (504) 947-4676; (504) 943-7556; FAX (504) 943-2149

FILL OUT AND RETURN AS SOON AS POSSIBLE IN ORDER TO SAVE YOUR ELIGIBILITY. RETURN ORIGINAL AND RETAIN DUPLICATE COPY FOR YOUR RECORDS.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.