2026 5-State FUTURITY-MATURITY BUY OUT FORM and RIDER/HORSE CHANGES

2026 FUTURITY & MATURITY BUY OUT AND RIDER/HORSE CHANGES

DEADLINE: July 6th 5pm for buy outs
BUY OUT OPTIONS

Barrel Futurity Buy Out $100Barrel Maturity Buy Out $100CHECK THIS BOX IF YOUR PURCHASED THE OPEN BUY OUT AS WELL FOR THE FUTURITY OR MATURITYPole Bending Futurity Buy Out $25Pole Bending Maturity Buy Out $25Breakway Futurity Buy Out $50Breakaway Maturity Buy Out $50Youth Breakaway Buy Out $25
Seller Name

First NameLast Name
Phone Number Of Seller
Please enter a valid phone number.
Buyer Name

First NameLast Name
Phone Number of Buyer
Please enter a valid phone number.
Buyer Email
example@example.com
Buyer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Registration papers of buy out - front

Cancelof
Registration papers of buy out - back if applicable

Cancelof
RIDER CHANGE OR HORSE SUBSTITUTION OPTIONS (check all that apply) $20 horse changes only accepted with vet release - same owner or rider

Barrel FuturityBarrel MaturityPole Bending FuturityPole Bending MaturityBAW FuturityBAW MaturityYouth BAW
Name of Original Horse or Original Rider
Name of Horse or Rider to change to
Registration Papers of Substitution

Cancelof

My Products

Barrel Futurity or Maturity Buy Out

$100.00 Quantity

Pole Bending Futurity or Maturity Buy Out

$25.00 Quantity

Breakaway Futurity, Maturity or Youth Buy Out

$50.00 Quantity

Rider Change or Horse Substitution

$20.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Buy Out RULES - go to the entry forms at 5-statebreedersfuturity.com

By making payment and submitting this form I am entering the above horse in the 5-State Breeders Futurity. I (we) agree that all 5-State Futurity rules are final. I (we) release the 5-State Futurity, LI Productions LLC, the Central States Fairgrounds, and futurity co-sponsors from any claims to myself, rider, employee, horse, and equipment. I understand LI Productions, LLC reserves the right to refuse entry.
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2026 FUTURITY & MATURITY BUY OUT AND RIDER/HORSE CHANGES