Section 1 of 1
Bit & Bridle Jackpot Barrels & Pole Bending
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Option 1
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Which date are you registering for?
Which date are you registering for?
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Test Day
May 26th
June 2nd
June 9th
June 16th
June 23rd
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Option 8
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Name
Name
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Address, City, State, Zip Code
Address, City, State, Zip Code
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PEWC Member
PEWC Member
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No
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PEWC Member Number
PEWC Member Number
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Phone Number
Phone Number
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Office Fee ($10/rider)
Office Fee ($10/rider)
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$10
N/A for peewee if only entered in peewee barrels
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Horse #1 Name
Horse #1 Name
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Horse #1 Exhibitions (3 max per horse) $5 each-limited amount sold
Horse #1 Exhibitions (3 max per horse) $5 each-limited amount sold
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Event Registration (select all that apply)
Event Registration (select all that apply)
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$25 Open Pole Bending
$5 PeeWee Barrels
$25 Open 4D Barrels
$20 Youth 4D Barrels
N/A, just exhibition runs
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Carry over option from 1st open
Carry over option from 1st open
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to Youth
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Sub-Total Horse #1 Entry Fees (exhibitions + event fees)
Sub-Total Horse #1 Entry Fees (exhibitions + event fees)
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Horse #2 Name
Horse #2 Name
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Horse #2 Exhibitions (3 max per horse) $5 each - limited amount sold
Horse #2 Exhibitions (3 max per horse) $5 each - limited amount sold
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Event Registration (select all that apply)
Event Registration (select all that apply)
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$25 Open Pole Bending
$5 PeeWee Barrels
$25 Open 4D Barrels
$20 Youth 4D Barrels
N/A, just exhibition runs
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Carry over option from 1st open
Carry over option from 1st open
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to Youth
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Sub-Total horse #2 Fees (exhibitions + event fees)
Sub-Total horse #2 Fees (exhibitions + event fees)
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Horse #3 Name
Horse #3 Name
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Horse #3 Exhibitions (3 max per horse) $5 each - limited amount sold
Horse #3 Exhibitions (3 max per horse) $5 each - limited amount sold
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Event Registration (select all that apply)
Event Registration (select all that apply)
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$25 Open Pole Bending
$5 PeeWee Barrels
$25 Open 4D Barrels
$20 Youth 4D Barrels
N/A, just exhibition runs
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add "Other"
…
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Carry over option from 1st open
Carry over option from 1st open
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Sub-Total Horse #3 Fees (exhibitions + event fees)
Sub-Total Horse #3 Fees (exhibitions + event fees)
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Total Registration Fees (office fee + all horse entry fees)
Total Registration Fees (office fee + all horse entry fees)
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E-signature below (if under 18 parent legal guardian must sign). Pursuant to MN Statute 04A.12, the sponsor)s) of livestock activities are not liable for the injury or death of a participant, or a spectator in an unauthorized area, arising from the inherent risk of livestock activities. I agree not to hold the Aitkin County Fairgrounds or the Bit and Bridle Saddle Club or anyone else associated with this event responsible for any damage, theft, or injury that may occur to myself, my horse, or my property while on these premises. By signing, I agree to become familiar with and abide by the rules of this event. We reserve the right to refuse any entry for any reason. Inappropriate behavior by contestant/spectators may result in you being asked to leave the grounds with no refunds.
E-signature below (if under 18 parent legal guardian must sign). Pursuant to MN Statute 04A.12, the sponsor)s) of livestock activities are not liable for the injury or death of a participant, or a spectator in an unauthorized area, arising from the inherent risk of livestock activities. I agree not to hold the Aitkin County Fairgrounds or the Bit and Bridle Saddle Club or anyone else associated with this event responsible for any damage, theft, or injury that may occur to myself, my horse, or my property while on these premises. By signing, I agree to become familiar with and abide by the rules of this event. We reserve the right to refuse any entry for any reason. Inappropriate behavior by contestant/spectators may result in you being asked to leave the grounds with no refunds.
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Date
Date
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Questions, Comments, Concerns...
Questions, Comments, Concerns...
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