Melissa's Good Timin Jackpot - Jackpot only - March 30, 2025 Entry Form -

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Entry fees & classes:

Remember, gates do not open till 10 am. Plan accordingly

Exh 11:00 am - 12:30 pm SHARP $4 EACH - One at a time, no riding around arena, keep forward motion

12:35- 1:05 pm - Church

Final Arena Prep - 1:05 - 1:30

Show starts 1:30 pm

There is no pee wee

Open 4D (open to all) - EF $30 +5 to go toward added money = $35 EF Total

Sidepots:

Youth 2D - 17 & younger - $25 for all - 1 sec split - - roll over only

Adult 2D - 18 - 39 years - $25 for all - 1 sec split - roll over only

Senior 2D - 40 + years - $25 for all - 1 sec split - roll over only

I must have, at least, 30 Paid, Pre entries by 11 am Friday, March 28, 2025

All information is on the Melissa's Good Timin Jackpot link at floridaequineathlete.com - This includes Rules, Policies, and Payouts are on these rules and policies.

THIS IS A JACKPOT ONLY!!! IT IS NOT PART OF THE BUCKLE SERIES!!

I will need help with barrel setting. Please help

ABSOLUTELY NO DRAMA IS ALLOWED AND NO ALCOHOLIC BEVERAGES.

NO HALTER TOPS, SPAGETTI STRINGS, LOW CUT SHIRTS, SHORTS, MIDRIFFS. MUST WEAR COWBOY BOOTS.

WISTY WATSON WILL BE DOING CONCESSION STAND

SAMANTHA WEEKS IS THE OFFICIAL PHOTOGRAPHER.

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Rider's Name

First Name

Last Name

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Emailrequired please

example@example.com

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Address - OptionalThis is for office if you leave before payout so winnings can be mailed.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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Phone Numberoptional

Area Code

Phone Number

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Youth Rider's Birth Date:Must be 17 or under

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How many Exhibitions

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First Horse's Name

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Classesclick on each class wanted

Open ($35 for all) - Open to all - $30 EF + $5 that goes toward added money = $35 total entry fee

Youth - 17 & under - $25 for all - roll over only

Adults - 18 - 39 years - $25 for all - Roll over only

Seniors - 40+ years - $25 for all -- Roll over only

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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2nd Horse's Name

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Classesclick on each class wanted

Open - $30 EF + $5 toward added = $35 total EF

Youth - 17 & under - $25 for all - ROLL OVER ONLY

Adults - 18 - 39 years - $25 for all - Roll over only

Seniors - 40+ years - $25 for all - roll over only - Roll over Only

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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3rd Horse's Name

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Classesclick on each class wanted

Open - $30 EF + $5 to go toward added = $35 Total EF

Youth - 17 & under - $25 for all - Roll over only

Adults - 18 - 39 years - $25 for all - Roll over only

Seniors - 40+ years - $25 for all - roll over only - Roll over Only

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For the Open, please give me 3 numbers you would like and I will try to give your the earliest number possible.

Please enter a number

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How would you like to pay for your entries

Paypal - drmgreer@gmail.com

Venmo - @Melissa-GreerPhD -1

Zelle - drmgreer@gmail.com

Cash App - $FLEquineAthlete

credit card (fee charged)

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In accepting this entry, the applicant hereby releases and discharges the Florida Equine Athlete, all officers, personnel, representatives, employees, agents, Melissa Greer Ph.D., host arenas, arena owners (Lise Blanton), and family members from liability, loss, claims, damages, and/or expenses for injuries or death to person, animal, property, family member(s), friends, or anyone affiliated with applicant, reputations, or financial conditions as a results of, or in any way, relating to applicant’s participation or nonparticipation in FEABRA or Melissa's Good Timin Jackpot sanctioned event whether caused by negligence, arena conditions, and/or by the conduct of the Florida Equine Athlete, Melissa Greer, PhD or arena hosts, owners, officers, etc.PLEASE BE SURE TO MARK THE BOX BELOW.

I have read, understood, and accepted the above waiver statement for entry and participataion of this show.

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Signature For Youth entries, this form MUST be signed by parent or guardian; I will need a parent or guardian to verify this permission at the day of the show, and/or sign at show.

Clear

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Date signed