Clone of New Year, New Beginnings

Rider Name*

First NameLast Name

Rider Date of Birth*

Date

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Format: (000) 000-0000.

BBR #

Horse Name #1

Horse Name #2

Horse Name #3

Horse Name #4

My Products

$1,400 ADDED 2D Futurity

2 rounds & average. 1 second split

$145.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3

$1,400 ADDED 2D Derby

8 & UNDER, 2 rounds & average. 0.75 second split

$145.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3

Friday PeeWee 10 & UNDER

Peewees can ONLY run PEEWEE in barrel classes.

$10.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2

Saturday PeeWee 10 & UNDER

Peewees can ONLY run PEEWEE in barrel classes.

$10.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2

Sunday PeeWee 10 & UNDER

Peewees can ONLY run PEEWEE in barrel classes.

$10.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2

Friday OPEN 4D Barrels $300 ADDED

$30.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Saturday OPEN 4D Barrels $650 ADDED

$45.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Sunday OPEN 4D Barrels $650 ADDED

$45.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Saturday/Sunday Open Average $250 ADDED

$30.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Friday YOUTH 17 & UNDER AS OF JANUARY 1st $50 ADDED

Can Run Youth and Carry over to the OPEN or run both youth and open

$25.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Saturday YOUTH 17 & UNDER AS OF JANUARY 1st $125 ADDED

Can Run Youth and Carry over to the OPEN or run both youth and open

$30.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Sunday YOUTH 17 & UNDER AS OF JANUARY 1st $125 ADDED

Can Run Youth and Carry over to the OPEN or run both youth and open

$30.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Saturday OPEN 3D Pole Bending $50 ADDED

$35.00

HORSE SELECTION	Quantity
HORSE #1
HORSE #2
HORSE #3
HORSE #4

Friday Exhibitions

$5.00

Sessions	Quantity
4-5PM
5-6PM
6-6:30PM

Saturday Exhibitions

$5.00

Sessions	Quantity
8:00-9:00 AM
9:00-10:00 AM
10:00 - 10:30 AM

Sunday Exhibitions

$5.00

Sessions	Quantity
6:30-7:30 AM

Friday-Sunday ELECTRICAL

FULL WEEKEND

$75.00 Quantity

STALL/JUMP OUT

PLEASE SELECT APPROPRIATE ITEM. JUMP OUT IS PER HORSE PER DAY!!!!! YOU WILL GET A STALL FOR THE DAY ON JUMP OUTS, STAY IN THE WARM BARN!

$80.00

STALLING/JUMP OUT	Quantity	Price
Friday-Sunday Stall		$80.00
Tack Stall		$60.00
Jump OUT		$20.00
EXTRA SHAVINGS		$10.00

OFFICE FEE

PLEASE SELECT APPROPRIATE FEE!

$20.00 Office Fee

Total

$0.00

UPLOAD FUTURITY/DERBY PAPERS HERE

NOTES ON CARRY OVERS/ STALL REQUESTS

Signature of Participant or Legal Guardian

OPTIONS TO PAY

CARD with 4% fee. sent text so we can send you a payment link

VENMO: @cactusroseproductions (NO FEE)

Mail checks to: 1633 130th Ave. Welcome MN 56181 (NO FEE)

CHECKS MUST BE POST MARKED BY 2/09/2026

YOU ARE RESPONSIBLE FOR ALL FEES WHEN YOU PRESS SUBMIT!!! If you pre enter and unable to make it, you may sell your spots. Purchaser must come to the office to fill out change form.

I AGREE

Barrel Race Entry Form