August 24-26, 2018 Futurity/Derby Entry form
$6000 ADDED 2D FUTURITY PLUS $5000 FUTURE FORTUNES $1500 TRIPLE CROWN INCENTIVE -
$750 ADDED 2D DERBY
Location: Kiplinger Arena, 1412 West 5th Street, McCook NE
Call or text 785-543-7829 or debchristy@trianglecross.com with questions.
FMI - Rules, Schedule, etc go to www.trianglecross.com
FUTURITY & DERBY HORSES - WILL NEED TO SEND COPY OF REGISTRATION PAPERS or msg/text me a copy.
EXHIBITION, STALLING & 4D ENTRIES ON ENTRY FORM
Email address *
Rider *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Phone *
Your answer
BBR#
Your answer
WPRA#
Your answer
Horse #1 Registered Name - (Futurity/Derby horses send copy of papers!) *
Your answer
Horse #1 Owner Name/address *
Your answer
Horse #1 - Events
Horse #2 Registered Name - (Futurity/Derby horses send copy of papers!)
Your answer
Horse #2 Owner & Address
Your answer
Horse #2 - Events
Horse #3 Registered Name - (Futurity/Derby horses send copy of papers!)
Your answer
Horse #3 Owner & Address
Your answer
Horse #3 - Events
If you have more horses to enter, please fill out another form! After you submit form(s), I will contact you for payment - cc/paypal or check. Nebraska Law provides that an equine activity sponsor, an equine professional, or any other person shall not be liable for an injury to or the death of a participant resulting from the inherent risks of equine activities and no participant shall make any claim against, maintain an action against or recover from an equine activity sponsor. NE ST§ 25-21,249-253. By checking "yes" I agree to hold harmless Triangle Cross LLC, Triangle Cross Barrel Racing, Kiplinger Arena and Red Willow Co Fairboard. *
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