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.Format: (000) 000-0000.
Rider's Age*
Mailing Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Horse's Name*
Friday Warmup Race - $80Friday PeeWee - $25
Saturday Slot Race - $270Saturday Open 5D - $140Open Average $40Saturday Youth 4D - $80Youth Average $40Saturday Esquire 3D - $140Esquire Average $40
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
YesNo
Horse's Name (Horse 2)
Friday Warmup Race - $80Friday PeeWee - $25
Saturday Slot Race - $270Saturday Open 5D - $140Open Average $40Saturday Youth 4D - $80Youth Average $40Saturday Esquire 3D - $140Esquire Average $40
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
YesNo
Horse's Name (Horse 3)
Friday Warmup Race - $80Friday PeeWee - $25
Saturday Slot Race - $270Saturday Open 5D - $140Open Average $40Saturday Youth 4D - $80Youth Average $40Saturday Esquire 3D - $140Esquire Average $40
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
YesNo
Horse's Name (Horse 4)
Friday Warmup Race - $80Friday PeeWee - $25
Saturday Slot Race - $270Saturday Open 5D - $140Open Average $40Saturday Youth 4D - $80Youth Average $40Saturday Esquire 3D - $140Esquire Average $40
Futurity 3D $60Derby 3D $60Senior 3D $50Little Banks 5D $100CBR Member Double Double $40
Sunday Slot Race- $270Sunday Open 5D- $140Sunday Youth 4D- $80Sunday Esquire 3D- $140
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.)
If you are entered in multiple classes (Slot, open, and youth) times will automatically Carry from the Slot to the Open and Open to Youth unless you specify here that you would like to run multiple times.
$20
Total
Pay Online NowPay at raceMail Payment (Mail, Cash, Check or Money Order to Crown B Ranch LLC PO Box 6 Saint David, Az 85630

Should be Empty:

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