


$1000 Added Dakota Hills Veterinary Clinic Open 4D
Jessie Jaymes Buckles to the Champions of each "D"
WPRA/NWBRA/UBRA Approved - $10,000 added Future Fortunes Money - www.futurefortunesinc.com
Saturday September 11th, 2010 - Pennington County Event Center
Pre-entries must be received by September 1st, 2010 $45
Mail to: 22650 151st Avenue Box Elder, SD 57719
Contestant__________________________NWBRA #____________WPRA #____________
Horse's Registered Name(2) 1._____________________ c/o______ 2.__________________________c/o_____
3.____________________________ c/o ____ 4.____________________________c/o_____
Carry overs to Saturday night 4D from Futurity or Maturity MUST
be declared prior to first round. Please note above if you are carrying your time.
Address____________________________________________________________
Phone______________________ Email_________________________
I (we) hereby make application to enter the above named horse in the 5-State Breeders Open 4D. I (we) agree that ALL 5-State Breeders Barrel Futurity/4D decisions are to be FINAL. I (we) hereby release the above 5-State Breeders Barrel Futurity, LI Productions, futurity co-sponsors, and the Central States Fairgrounds from any claim or loss to myself, rider, employee, horses and/or equipment. Signature______________________________________________________
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***DRESS CODE (hats and long sleeves)*** |
FUTURE FORTUNES HORSES ONLY - one entry blank per Future Fortunes Horse Please
Rider's Name____________________ Owner_______________________Owner SSN _____________
Sire___________________ Dam___________________ Year Born__________
Owner Address____________________________________________________________
ALL FUTURE FORTUNES ENTRIES MUST INCLUDE FRONT AND BACK OF PAPERS
LATE ENTRIES MUST BRING PAPERS TO CHECK-IN
FUTURE FORTUNES CHECK-IN 4:00-4:30pm in warm-up area
(you MUST check in to be eligible for Future Fortunes Bonus Money)
