Barriere Barrel Bash 2015 Name CBR # Address City Postal Code Prov Cell Phone Email $30 $25 $10 $30 $30 $30 $25 $10 $30 $65 $65 $65 $30 $30 $25 $10 $30 $30 $30 $25 $10 $30 $25 $10 $30 $30 $30 $25 $10 $30 Horse #4 $65 $30 $65 $65 $30 Stalls (ALL prices are per stall) (only 60 available) Please Note You will NOT be in the draw until payment is received CASH ONLY AT RACE Total Entry Fees Arena Fee per Wkend $15.00 per night per trailer There are no hookups MUST PICK UP AROUND YOUR PENS AND TRAILERS Youth In submitting my entry, I hereby release Canadian Barrel Racing, including all it's agents, affiliates, sponsors and providers, from any claim or right to damages, which may occur to me, my horse, my child or other property at this event. I realize there are certain risks in any sport and I take full responsibility for myself and/or my child if an incident should occur. It is also understood that by signing this entry, I have read, understand and agree to abide by all CBR rules (Available at www.CanadianBarrelRacing.com/Rules). www. Canadian Barrel Racing .com $30 $10 ea. BCBRA @ $3/run per horse Fri $______ + Sat $______ Date: __________ Totals Arena Fee $15/Day Stall Total # of Stalls x $______ + Deposit (per stall on seperate chq) Camping Fees (ALL prices are per Trailer/Rig) (each horse without stall) Haul-In Fee CBRA Refund Policy Prior to day of race: When a race is pre-entered: Refund for vet or medical release when presented on official signed letterhead only. Day of Race: Refund for visible injury only. Management will determine the acceptability of visible injury. Refund Amount: If only 1 go entered - all but $20 If more then 1 go entered - all but $40 $100 ADDED $25.00/ night for covered stalls $15.00/ night for outside pen $25.00 cleanup deposit (must be clean to the dirt)separate cheque Haul-in Fee ($10) is only for self penning and day hauling $100 ADDED $30 Pole Bending $65 Peewee $65 Carry Over $65 Horse #3 Novice Horse #2 $50 ADDED $10 $30 Carry Over $25 $50 ADDED $30 Carry Over Senior $10 $30 $30 Pole Bending $25 Peewee $30 Carry Over $30 Novice $65 $50 ADDED $65 Carry Over $65 Please use horses' registered name and (barn name) $50 ADDED Youth Horse #1 Cross out the boxes of the races you want to enter. Cross out the box if you want to carry your time over from the open class of the same day. Carry Over Senior Open Sunday 5D $1,000 added 9:00am Start Sunday Open Saturday 5D $1,000 added 10:00am start Saturday Open Friday 5D $1000 added to follow slack Slack Friday Night for Sat & Sun 5:00pm Start Make Checks Payable To CBRA or Canadian Barrel Racing 51019 Willbourn Road Rosedale, BC V0X 1X2 The North Thompson Agriplex E Barriere Lakes Road, Barriere, BC, NBHA @ $3/run Camping Total Late Fee(after April 18) ($5.00 each) Time Onlys $20 $5 ea. Total Fees To avoid a $20 late fee, paid entry must be postmarked by Signature: _______________________ (Parent to sign if under 19) April 18, 2015 UNSIGNED ENTRIES MAY NOT BE PROCESSED