May Entry Form

KG CANS & CASH ENTRY FORM

May 16 & 17th, 2025
Rider*

First NameLast Name
Rider Date of Birth*

MonthDayYear
Date
BBR Number
If Applicable
Email - Arkansas Elite Members Please Use That Email Here
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Order of Events:

Friday:

- 11am to 5pm Exhibitions $5 Each

- 6pm MVP $500 Added Open 5D 80% Payback

Saturday:

- 8am to 11am Exhibitions $5 Each

- 12pm Everett Plumbing $3500 Added Open 5D 80% Payback

- 7 Sidepots 90% Payback

ALL FEES:

Friday MVP Open 5D - $40 ( 30 entry, 10 office fee)
Friday Arkansas Elite Fee If Member - $5

Saturday Everett Plumbing $3500 Open 5D - $100
Saturday Arkansas Elite Fee If Member - $5

Sidepots for Saturday: (You must enter the Saturday Open to roll your time to any sidepot)

ALL SIDEPOTS HAVE $200 ADDED
- Nokn For Jesus 18 & Under Youth $25 Entry
- Sharp Designs 19-44 Adult $25 Entry
- Sharp Designs 45-59 Senior $25 Entry
- 60 & Over Goldies $25 Entry
- Heathen Horse 6 & Under $15 Entry
- Sharps Trucking Dinosaur Horse 15 & Over $15 Entry
- Sharp Designs Hit Barrel Only $5 Entry
  (If you do not hit a barrel, your time is not included but entry still goes to payout…think of it as “insurance” to still possibly win money from hit barrels.)
Sunday May 18th there is another $25 Entry 5D open & 3D poles race by Longhorn Barrels & Poles Racing Association. 10 & Under, 18 Under Youth classes as well. Stalls & Rvs are available for the night before. You can get them & can pre enter for it at 903-578-0607.
Horse 1 Name & Age*
Horse Running 1st if multiple
Horse 2 Name & Age
Horse Running 2nd if Multiple
Horse 3 Name & Age
Horse Running 3rd if Multiple
EXHIBITIONS - RV - STALLS - ENTRIES

Refunds are not given for missed time slots. RV & Stalls are available for One Night. Please select your chosen events for each horse.

Friday Exhibitions $5 EachPlease do your exhibitions within the hour of chosen time frame.

$5.00

Time Slot	Quantity	Price
11am - 12pm		$5.00
12pm - 1pm		$5.00
1pm - 2pm		$5.00
2pm - 3pm		$5.00
3pm - 4pm		$5.00
4pm - 5pm		$5.00

Item subtotal:$0.00

Saturday Exhibitions $5 EachPlease do your exhibitions within the hour of chosen time frame.

$5.00

Time Slot	Quantity	Price
8am - 9am		$5.00
9am - 10am		$5.00
10am - 11am		$5.00

Item subtotal:$0.00

RV HookupPrice Per night shown. Electric & Water hookup.

$30.00

Total Nights	Quantity	Price
Friday Night		$30.00

Item subtotal:$0.00

StallsPrice per Stall Shown, One Bag of Shavings Included. Friday Night Only

$40.00 Quantity
Item subtotal:$0.00

ShavingsPrice Per Extra Bag

$7.00 Quantity
Item subtotal:$0.00

Horse 1 TotalPlease Select All Desired Events. You must enter the Sat Open to Roll to Any Sidepot. On Friday open You must add the office fee ONCE per rider.

$30.00

Events	Quantity	Price
Fri $500 Added Open		$30.00
Fri Office Fee ONE TIME		$10.00
Sat $3500 Added Open		$100.00
Sat 18 & Under Sidepot		$25.00
Sat 19-44 Adult Sidepot		$25.00
Sat 45-59 Senior Sidepot		$25.00
Sat 60 & Over Goldies Sidepot		$25.00
Sat 6 & Under Horse Sidepot		$15.00
Sat 15 & Over Horse Sidepot		$15.00
Sat Hit Barrel Sidepot		$5.00

Item subtotal:$0.00

Horse 2 Total Please Select All Desired Events. You must enter the Sat Open to Roll to Any Sidepot.

$30.00

Events	Quantity	Price
Fri $500 Added Open		$30.00
Sat $3500 Added Open		$100.00
Sat 18 & Under Sidepot		$25.00
Sat 19-44 Adult Sidepot		$25.00
Sat 45-59 Senior Sidepot		$25.00
Sat 60 & Over Sidepot		$25.00
Sat 6 & Under Horse Sidepot		$15.00
Sat 15 & Over Horse Sidepot		$15.00
Sat Hit Barrel Sidepot		$5.00

Item subtotal:$0.00

Horse 3 TotalPlease Select All Desired Events. You must enter the Sat Open to Roll to Any Sidepot.

$30.00

Events	Quantity	Price
Fri $500 Added Open		$30.00
Sat $3500 Added Open		$100.00
Sat 18 & Under Sidepot		$25.00
Sat 19-44 Adult Sidepot		$25.00
Sat 45-59 Senior Sidepot		$25.00
Sat 60 & Over Goldies Sidepot		$25.00
Sat 6 & Under Horse Sidepot		$15.00
Sat 15 & Over Horse Sidepot		$15.00
Sat Hit Barrel Sidepot		$5.00

Item subtotal:$0.00

Arkansas Elite FeePlease Select Each Day You Want To Count

$5.00

Days	Quantity	Price
Friday		$5.00
Saturday		$5.00
Fri & Sat		$10.00

Item subtotal:$0.00

Event T-ShirtSoftstyle Tshirt with KG logo on front, all sponsors on back.

$20.00 QuantityColorSize

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Comments/Request
Signature of Participant or Legal Guardian*

Clear
W9'S WILL BE REQUIRED BEFORE ANY CHECKS ARE MAILED

You can submit a completed copy ahead of time to KGCansAndCash@gmail.com or wait until results of race. All check winners must have one.
If you need to make payments or use Venmo, please contact me directly.

(903) 930-9438

Entry is complete and filed when paid in full.
Should be Empty:

KG CANS & CASH ENTRY FORM

EXHIBITIONS - RV - STALLS - ENTRIES

Payment Methods

W9'S WILL BE REQUIRED BEFORE ANY CHECKS ARE MAILED