2015 Colorado Classic Futurity Entry Form $8250 Added Open Futurity $5500 Added Stallion Incentive Side Pot $3,000 WPRA Pro Elite Sire Incentive Bonus Saddle To Open Futurity Champion sponsored by Darkelly, owned by Leader Change LLC! Norris Penrose Event Center, Colorado Springs Colorado One entry per horse Name of Horse: __________________________________________________________________ Sex ______________________ Age _____________ Sire _______________________________________Dam___________________________________________ Owners Name ______________________________________________________ SS Number: __________________________ Address_________________________________________________ City, State, Zip ____________________________________ Riders Name ________________________________________________ SS Number: __________________________________ Address________________________________________________________ City, State, Zip _____________________________ Contact Phone Number ________________________________________ Email _____________________________________ WPRA # ____________________________________________________ BBR #__________________________________________ Checks made out to: ________________________________________________________________________________________ Check Appropriate Boxes if Eligible: $250 Added Amateur Side Pot Entry: ________Add $25 per Payment PESI ____________ Stallion Incentive: _________Add $50 per Payment I (We) hereby make application to enter the above named horse in the Colorado Classic Futurity/ Derby/Side-Pots subject to the
Colorado Classic and MHBHA rules, all of which I (we) have read and agree to the provisions contained therein as part of this
contract. I (We) hereby release Colorado Classic, Mile Hi Barrel Horse Association and their employees from any claim or loss to
rider or horses, employees, equipment and/or myself.
______________________________________________________________________________ _______________________________ Futurity Contestant Signature Date Please include front and back photocopy of registration papers or veterinarians affidavit to: Colorado Classic Futurity, 1300 S. Bonnie Lane, Watkins, CO 80137 Futurity Payment Schedule: April 1st -‐ $100 May 1st -‐ $100 June 1st -‐ $75 $25 fee will be assessed to all payments postmarked after the due dates; $80 total late fee for entry at event. Please include $25 Processing Fee ONE TIME PER RIDER to first payment. OFFICE USE ONLY Date Paid Amount Late Charges Balance Amateur Incentive May 1st June 1st April 1st