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"*" indicates required fields

Step 1 of 4 - Racer Information

Which State/Province is the Race in?*

IMPORTANT! Please make sure the state and/or city matches the race you're trying to enter

Race Name*

Hidden

Date of Race*

MM slash DD slash YYYY

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Producer Email

Racer Name*

First Last

Email?*

Shipping Address*

Where would you like your check mailed if you win?

NOTE: If you update your address on your User Profile you'll never have to manually enter it again while completing an online entry through our website. Don't worry, other users can't see your address.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

What phone number can the producer contact you at?

NOTE: If you update your phone number on your User Profile you'll never have to manually enter it again while completing an online entry through our website. Don't worry, other users can't see your phone number.

BBR #

WPRA #

Join The Website For Free

Would you like to create a free account on BarrelRace.com?*

By selecting yes your information will be saved so next time the form autofills for you, all you'll need to select is which horse you're entering and which class(es). You'll be added to our email list as well for weekly updates on upcoming races and other exciting news. Already have an account? Go Login.

Yes

Username*

Password*

Enter Password Confirm Password

Would you like to purchase Exhibitions?*

Yes

Exhibitions

Exhibition Time Slot	Quantity	Actions

There are no New Exhibitions.

Maximum number of new exhibitions reached.

Exhibition Total Due:

Price: $0.00

Horses Being Entered

Please include the information on the horses you are entering.

NOTE: If you update your horses on your User Profile you'll never have to manually enter it again while completing an online entry through our website.

Are you entering the race or only doing exhibitions?*

Entering Race

Exhibitions Only

How many horses are you entering?*

Horse 1

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 1 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Entries

Horse 1 Entries:*

OPEN 4D

YOUTH 3D

Horse 2

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 2 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 2 Entries:*

OPEN 4D

YOUTH 3D

Horse 3

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 3 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 3 Entries:*

OPEN 4D

YOUTH 3D

Horse 4

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 4 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 4 Entries:*

OPEN 4D

YOUTH 3D

Horse 5

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 5 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 5 Entries:*

OPEN 4D

YOUTH 3D

Horse 6

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 6 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 6 Entries:*

OPEN 4D

YOUTH 3D

Horse 7

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 7 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 7 Entries:*

OPEN 4D

YOUTH 3D

Horse 8

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 8 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 8 Entries:*

OPEN 4D

YOUTH 3D

Horse 9

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 9 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 9 Entries:*

YOUTH 3D

OPEN 4D

Horse 10

Choose your horse from the dropdown list, don't see it listed? Just leave it as "Not Listed" and write their name in on the next fields.

Horse 10 Name*

Fill this in only if your horse name isn't listed in the dropdown above. Don't forget, if you update horses on your profile you never have to fill this out again.

Horse 10 Entries:*

YOUTH 3D

OPEN 4D

Life Time Earnings*

IMPORTANT: If you selected Novice as a class, please put your life time earnings below. Not competing in Novice? Just type "0" in the field below.

Special Requests

Please include any special requests relating to the race or exhibitions for the producer to read here:

Additional Fees

Select additional fees that apply to you:*

ARENA FEE-PER HORSE

ARENA FEE (PER HORSE) (0 spots left)

Exhibition Fees Subtotal

$0.00

Race Entries Subtotal

$0.00

Additional Fees Subtotal

$0.00

Total Due

Disclaimer

I agree to release N8 Arena and Sylvia Berumen, all members, arena owners, producers, and any and all persons connected with any barrel races produced by Sylvia Berumen from loses, damages, injury to me, my equipment and/or any animals resulting from attending or participating in any barrel races produced by Sylvia Berumen.

Signature*

Printed Name:*

Date Signed:*

MM slash DD slash YYYY

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Horses Being Entered