43rd Annual Fizz Bomb Rope Horse Classic Entry Form
September 2nd, 2024
Rider Information
Rider Name
*
First Name
Last Name
Rider Phone Number
*
Please enter a valid phone number.
Rider Email
*
example@example.com
Will you be staying in a Gillette Hotel?
Yes
No
If so, how many rooms & nights?
Rider Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
By entering I agree to abide by all Thar Ranch Productions' rules
*
Yes
Horse Information
Horse #1
Horse #1 Registered Name
*
PLEASE Provide Registered Names of Horses
Checks Written To:
*
W-9 or SS# of payee is required for all checks issued.
SSN of Payee
*
Owner Name
First Name
Last Name
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Owner Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse #1 Sire Name
Horse #1 Dam Name
Horse #1 Dam's Sire Name
Horse #1 Year Foaled
Horse #1 Color
Horse #1 Sex
Horse #1 Registration Papers or Age Verification (non-registered horses)
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of
Horse #2
Horse #2 Registered Name
PLEASE Provide Registered Names of Horses
Checks Written To:
W-9 or SS# of payee is required for all checks issued.
SSN of Payee
Owner Name
First Name
Last Name
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse #2 Sire Name
Horse #2 Dam Name
Horse #2 Dam's Sire Name
Horse #2 Year Foaled
Horse #2 Color
Horse #2 Sex
Horse #2 Registration Papers or Age Verification (non-registered horses)
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of
Horse #3
Horse #3 Registered Name
PLEASE Provide Registered Names of Horses
Checks Written To:
W-9 or SS# of payee is required for all checks issued.
SSN of Payee
Owner Name
First Name
Last Name
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse #3 Sire Name
Horse #3 Dam Name
Horse #3 Dam's Sire Name
Horse #3 Year Foaled
Horse #3 Color
Horse #3 Sex
Horse #3 Registration Papers or Age Verification (non-registered horses)
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of
Horse #4
Horse #4 Registered Name
PLEASE Provide Registered Names of Horses
Checks Written To:
W-9 or SS# of payee is required for all checks issued.
SSN of Payee
Owner Name
First Name
Last Name
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse #4 Sire Name
Horse #4 Dam Name
Horse #4 Dam's Sire Name
Horse #4 Year Foaled
Horse #4 Color
Horse #4 Sex
Horse #4 Registration Papers or Age Verification (non-registered horses)
Browse Files
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Choose a file
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of
Horse #5
Horse #5 Registered Name
PLEASE Provide Registered Names of Horses
Checks Written To:
W-9 or SS# of payee is required for all checks issued.
SSN of Payee
Owner Name
First Name
Last Name
Owner Phone Number
Please enter a valid phone number.
Owner Email
example@example.com
Owner Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Horse #5 Sire Name
Horse #5 Dam Name
Horse #5 Dam's Sire Name
Horse #5 Year Foaled
Horse #5 Color
Horse #5 Sex
Horse #5 Registration Papers or Age Verification (non-registered horses)
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Entries
My Products
Categories:
All
All
Horse #1
Horse #2
Horse #3
Horse #4
Horse #5
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( X )
Horse #1
2D Breakaway Futurity (#1)
$1,000 added
$
400.00
2D Open Breakaway (#1)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover To Open Breakaway (#1)
Will Rope in Futurity and carry over to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Breakaway (#1)
As of Jan. 1st
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Carryover to Open Breakaway (#1)
Will rope in 15 & Under and carryover to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Breakaway Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Breakaway Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Owner Rider Breakaway Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
All Ladies Breakaway Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Breakaway Sidepot (#1)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Breakaway (#1)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tie Down Futurity (#1)
$1,000 added
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Open Tie Down (#1)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover to Open Tie Down (#1)
Will rope in futurity and carryover time to Open.
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Tie Down Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Tie Down Sidepot (#1)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Tie Down Sidepot (#1)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Tie Down (#1)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horse #2
2D Breakaway Futurity (#2)
$1,000 added
$
400.00
2D Open Breakaway (#2)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover To Open Breakaway (#2)
Will Rope in Futurity and carry over to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Breakaway (#2)
As of Jan. 1st
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Carryover to Open Breakaway (#2)
Will rope in 15 & Under and carryover to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Breakaway Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Breakaway Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
All Ladies Breakaway Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Owner Rider Breakaway Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Breakaway Sidepot (#2)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Breakaway (#2)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tie Down Futurity (#2)
$1,000 added
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Open Tie Down (#2)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover to Open Tie Down (#2)
Will rope in futurity and carryover time to Open.
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Tie Down Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Tie Down Sidepot (#2)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Tie Down Sidepot (#2)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Tie Down (#2)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horse #3
2D Breakaway Futurity (#3)
$1,000 added
$
400.00
2D Open Breakaway (#3)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover To Open Breakaway (#3)
Will Rope in Futurity and carry over to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Breakaway (#3)
As of Jan. 1st
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Carryover to Open Breakaway (#3)
Will rope in 15 & Under and carryover to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Breakaway Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Breakaway Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Owner Rider Breakaway Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
All Ladies Breakaway Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Breakaway Sidepot (#3)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Breakaway (#3)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tie Down Futurity (#3)
$1,000 added
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Open Tie Down (#3)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover to Open Tie Down (#3)
Will rope in futurity and carryover time to Open.
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Tie Down Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Tie Down Sidepot (#3)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Tie Down Sidepot (#3)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Tie Down (#3)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horse #4
2D Breakaway Futurity (#4)
$1,000 added
$
400.00
2D Open Breakaway (#4)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover To Open Breakaway (#4)
Will Rope in Futurity and carry over to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Breakaway (#4)
As of Jan. 1st
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Carryover to Open Breakaway (#4)
Will rope in 15 & Under and carryover to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Breakaway Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Breakaway Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
All Ladies Breakaway Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Owner Rider Breakaway Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Breakaway Sidepot (#4)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Breakaway (#4)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tie Down Futurity (#4)
$1,000 added
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Open Tie Down (#4)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover to Open Tie Down (#4)
Will rope in futurity and carryover time to Open.
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Tie Down Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Tie Down Sidepot (#4)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Tie Down Sidepot (#4)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Tie Down (#4)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Horse #5
2D Breakaway Futurity (#5)
$1,000 added
$
400.00
2D Open Breakaway (#5)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover To Open Breakaway (#5)
Will Rope in Futurity and carry over to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Breakaway (#5)
As of Jan. 1st
$
150.00
Quantity
1
2
3
4
5
6
7
8
9
10
15 & Under Carryover to Open Breakaway (#5)
Will rope in 15 & Under and carryover to Open
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Breakaway Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Breakaway Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Owner Rider Breakaway Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
All Ladies Breakaway Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Breakaway Sidepot (#5)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Breakaway (#5)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Tie Down Futurity (#5)
$1,000 added
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Open Tie Down (#5)
$500 added
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Futurity Carryover to Open Tie Down (#5)
Will rope in futurity and carryover time to Open.
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
40 Plus Tie Down Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
19 & Under Tie Down Sidepot (#5)
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
American Qualifier Tie Down Sidepot (#5)
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Royal Crown Tie Down (#5)
Sidepot for Royal Crown eligible horses
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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