TJMBR Entry Form

Teresa Jorgenson Memorial 2025

May 10 & 11 2025 - Bowman ND
Rider*

First NameLast Name
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Venmo
Saturday Order of Events:

8:00-10:00-Time Slots

10:00-11:15- 60 Second Exhibitions

11:30 Stick Horse Pee Wees

12:00 Pee Wee's

12:30 Youth followed by Open

Slot Race will not start before 5:00 PM

Dinner Following Slot Race

7:30 PM- Party in the Dirt with Ty & Jerilyn of Mendenhall Crossing

Sunday Order of Events

8:00-10:00 Am Exhibitions

10:30- Youth

11:00- Open
Horse 1 Registered Name*
Horse 1 Entries

Saturday Open - $60Saturday Slot Race - $250Sunday Open- $60Youth Saturday - $40Youth Sunday - $40Senior Saturday Sidepot - $40Senior Sunday Sidepot - $40Futurity Saturday Sidepot - $40Futurity Sunday Sidepot - $40Derby Saturday Sidepot - $40Derby Sunday Sidepot - $40Old Nag Sidepot (15+)-$40Sunday Old Nag Sidepot (15+)-$40Ballless & Flawless Gelding Sidepot $40Sunday Ballless & Flawless Gelding Sidepot $40Banana Split 3/4 Split Sidepot $40Sunday Banana Split 3/4 Split Sidepot $40Pee Wee - Stick Horse 6 & Under -$10Pee Wee- 8 & Under(MUST compete by themselves) $10CARRY Youth time (Run in Open)
Horse 1 Total
Horse 2 Registered Name
Horse 2 Entries

Saturday Open - $60Saturday Slot Race - $250Sunday Open- $60Youth Saturday - $40Youth Sunday - $40Senior Saturday Sidepot - $40Senior Sunday Sidepot - $40Futurity Saturday Sidepot - $40Futurity Sunday Sidepot - $40Derby Saturday Sidepot - $40Derby Sunday Sidepot - $40Old Nag Sidepot (15+)-$40Sunday Old Nag Sidepot (15+)-$40Ballless & Flawless Gelding Sidepot $40Sunday Ballless & Flawless Gelding Sidepot $40Banana Split 3/4 Split Sidepot $40Sunday Banana Split 3/4 Split Sidepot $40Pee Wee- 8 & Under(MUST compete by themselves) $10Peewee Stick Horse 6 & Under $10CARRY Youth time (Run in Open)
Horse 2 Total
Horse 3 Registered Name
Horse 3 Entries

Saturday Open - $60Saturday Slot Race - $250Sunday Open- $60Youth Saturday - $40Youth Sunday - $40Senior Saturday Sidepot - $40Senior Sunday Sidepot - $40Futurity Saturday Sidepot - $40Futurity Sunday Sidepot - $40Derby Saturday Sidepot - $40Derby Sunday Sidepot - $40Old Nag Sidepot (15+)-$40Sunday Old Nag Sidepot (15+)$40Balless & Flawless Gelding Sidepot-$40Sunday Ballless & Flawless Gelding Sidepot-$40Banana Split 3/4 Sidepot- $40Sunday Banana Split 3/4 Sidepot- $40Pee Wee - Stick Horse 6 & Under -$10Pee Wee- 8 & Under(MUST compete by themselves) $10CARRY Youth time (Run in Open)
Horse 3 Total
Friday Time Slot Preference

5:00-6:006:00-6:306:30-7:007:00-7:307:30-8:00
Saturday Time Slot Preference

8:00-8:308:30-9:009:00-9:309:30-10:00Lefty
Time Slot -$10 Each

123456
Direction Preference

RightLeft
Time Slot Total
Saturday Exhibitions -SOLD OUT.

Time Slots Still Available
Sunday Exhibitions - $5 each at Gate
Prime Rib Dinner (RSVP)
Pay Cash or Credit to Bogey's BBQ day of event.
Arena Fee Per Rider*

$25
Total Due
In submitting my entry, I hereby release the producers, arena owner, or any volunteer or association from any claim or right for damage, which may occur to myself, my family members my horse(s), or my personal property at this barrel race or in transit.
Signature of Participant or Legal Guardian

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Payments must be submitted by venmo @BrittJorgenson (7935)

Entry is complete when your payment is received.

Disregard Peewee $25 Arena Fee- They NEVER have a fee.
Comments:
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Teresa Jorgenson Memorial 2025

Saturday Exhibitions -SOLD OUT.

Sunday Exhibitions - $5 each at Gate