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Exhibitor Entry Form for Chase Races at Natirar
Entries close September 25, 2025
*Please note, in the event of inclement weather, fees will not be refunded
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* Indicates required question
Email
*
Your email
Rider Name
*
Your answer
Address
*
Your answer
Phone
*
Your answer
Date of Birth (for Lead-line & Stick Pony Races)
*
MM
/
DD
/
YYYY
Emergency Contact Name & Contact #
*
Your answer
Horse or Pony Name
*
Your answer
Horse or Pony Description: Age, Size, Color, Sex
(for ex.: 12yr old, 12.1, bay, gelding)
*
Your answer
Owner's last name
*
Your answer
Races
*
1st Race: Leadline Entry fee $20
2nd Race: Relay Race Entry fee $100/team ($25 per team member)
3rd Race: Stick Pony Races Entry fee $10
4th Race: Pony Chase Entry fee $40
5th Race: Junior Chase Entry fee $40
6th Race: Senior Chase Entry fee $40
7th Race: Junior Pony Flat Races Entry fee $40
8th Race: OTTB (Off Track Thoroughbred) Entry fee $40
9th Race: Trot Race Entry fee $40
10th Race: Lightweight Flat Race Entry fee $40
11th Race: Heavyweight Flat Race >50 Entry fee $40
If you wish to compete in multiple classes, please list below in "other"
Other:
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