MATURTY ENTRY FORM
NOMINATIONS are due July1st. All substitutions and late payments/nominations MUST be received by
August 30, 2012. NO EXCEPTIONS and late fees will be assessed as stated in the rules.
One horse per entry blank.
MATURTY ENTRY FORM
NOMINATIONS are due July1st. All substitutions and late payments/nominations MUST be received by
August 30, 2012. NO EXCEPTIONS and late fees will be assessed as stated in the rules.
One horse per entry blank.
Name of Horse Registration Number
Month & Year Foaled Sex Color
I (we) hereby make application to enter the above named horse in the Grid Iron Barrel Maturity. The Maturity is subject to the rules on the attached sheets, all of which I (we) have read and agree to the provisions contained therein as a part of this contract. I (we) agree that ALL Grid Iron Barrel Futurity decisions are to be FINAL. I (we) hereby release the above Grid Iron Barrel Futurity, Grid Iron Productions, LLC, futurity co-sponsors, and the SD State Fairgrounds from any claim or loss to myself, rider, employee, horses, and or equipment.
OWNER |
RIDER |
| Name | Name |
| Address | Address |
| City/State/Zip | City/State/Zip |
| Phone | Phone |
| Signature | Signature |
Indicate to whom Grid Iron winnings are to be written to Contact email address_______________________________________
( ) owner ( ) rider SSN __________________
Please print, fill out, & mail entry blanks with attached photocopy (front and back) of registration papers with the appropriate fees to: Grid Iron Barrel Futurity, Bobbi Jo Williams, 22762 151st Ave, Box Elder, SD 57719 605-685-8768.
| Payment Schedule for office use | Payment |
Late Fee |
Total |
| July $75 | |||
| August $50 |
|||
| TOTAL |