Barrel Race Registration Form

Barrel Race Registration Form

Register for the barrel race, select your classes, and choose your payment method.
Rider's Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Rider's Age*
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Horse's Name*
Friday classes

Friday Warmup Race - $80Friday PeeWee - $25
Saturday classes

Saturday Slot Race - $270Saturday Open 5D - $140Saturday Youth 4D - $80Saturday Esquire 3D - $140
Will you carry your time between classes?*

YesNo, I will run twice
Saturday Sidepots

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100Average Sidepot $40CBR Member Double Double $40
Sunday classes

Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Will you carry your time between classes?*

YesNo, I will run twice
Sunday Sidepots

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Horse's Name (Horse 2)*
Friday classes (Horse 2)

Friday Warmup Race - $80Friday PeeWee - $25
Saturday classes (Horse 2)

Saturday Slot Race - $270Saturday Open 5D - $140Saturday Youth 4D - $80Saturday Esquire 3D - $140
Will you carry your time between classes? (Horse 2 Saturday)*

YesNo, I will run twice
Saturday Sidepots (Horse 2)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100Average Sidepot $40CBR Member Double Double $40
Sunday classes (Horse 2)

Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Will you carry your time between classes? (Horse 2 Sunday)*

YesNo, I will run twice
Sunday Sidepots (Horse 2)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Do you have another horse to enter? (Horse 3)*

YesNo
Horse's Name (Horse 3)
Friday classes (Horse 3)

Friday Warmup Race - $80Friday PeeWee - $25
Saturday classes (Horse 3)

Saturday Slot Race - $270Saturday Open 5D - $140Saturday Youth 4D - $80Saturday Esquire 3D - $140
Will you carry your time between classes? (Horse 3 Saturday)*

YesNo, I will run twice
Saturday Sidepots (Horse 3)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100Average Sidepot $40CBR Member Double Double $40
Sunday classes (Horse 3)

Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Will you carry your time between classes? (Horse 3 Sunday)*

YesNo, I will run twice
Sunday Sidepots (Horse 3)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Do you have another horse to enter? (Horse 4)*

YesNo
Horse's Name (Horse 4)
Friday classes (Horse 4)

Friday Warmup Race - $80Friday PeeWee - $25
Saturday classes (Horse 4)

Saturday Slot Race - $270Saturday Open 5D - $140Saturday Youth 4D - $80Saturday Esquire 3D - $140
Will you carry your time between classes? (Horse 4 Saturday)*

YesNo, I will run twice
Saturday Sidepots (Horse 4)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100Average Sidepot $40CBR Member Double Double $40
Sunday classes (Horse 4)

Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Will you carry your time between classes? (Horse 4 Sunday)*

YesNo, I will run twice
Sunday Sidepots (Horse 4)

Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Number of Exhibitions Needed (Friday)
Each Exhibition costs $5
Number of Exhibitions Needed (Saturday)
Each Exhibition costs $5
Number of Exhibitions Needed (Sunday)
Each Exhibition costs $5
Notes (Early or Late Draw Request, Exhibitions split into groups, etc.)
Non-Member Fee

$20
Total
How will you pay your entry fees?*

Pay online nowMail payment (Mail Cash, Checks, or Money Order to Crown B Ranch LLC • PO Box 6 • Saint David, Az 85630)
Payment Amount

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Payment Methods

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