Tri-County Jackpot Cutting Entry Form

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Thank you for pre-registering for our upcoming jackpot cutting on Friday, May 10, 2024! You must fill out a form PER ENTRY, so if you are entering more than one run you will have multiple submissions. Payment is due upon submission of this form. Once this form is submitted, please check your email for a response receipt. If you do not get one, then the form did not go through and you will need to submit the form again, or call the office to confirm.

There are 30 slots available over the course of 3 sections (10 in each section). Sections will be closed and removed from form once filled. Each form filled out is $25 entry fee, a $25 office/facility fee with $100 cattle fee ($150 total per entry).

There is a 100% payback of entry fees.

Payback will be as follows: 1st Place - 50% of Purse / 2nd Place - 30% of Purse / 3rd Place - 20% of Purse

If there any questions, please call or text Ben Arreguin 817-896-3813.

Email *

Exhibitor Name *

Exhibitor Division:

Open

Non-Pro

Clear selection

Phone Number *

Emergency Contact & Phone Number *

Horse's Name *

Owner of Horse Name:

3 Sections

6:00-7:00 7:00-8:00 8:00-9:00

Sections will be closed and removed from form once full

There will be a draw for each section.

6:00 - 7:00 PM

7:00 - 8:00 PM

8:00 - 9:00 PM

Photo Release *

I grant permission for my photo to be taken and used but not limited to social media, websites, publications, and the like.

I do not grant permission for my photo to be taken.

Warning - Under Texas Law (Chapter 87, Civil Practice and Remedies Code), an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities.
*

I understand the risk of equine activities as described under Texas Law (Chapter 87, Civil Practice and Remedies Code)

$150 DUE NOW ($25 entry fee + $25 office/facility fee + $100 cattle fee)

Scan the Venmo code below to pay or manually enter @tricountystockhorse in your Venmo app. You can also pay via Zelle by typing the email tricostockhorse@gmail.com in your Zelle app. Payment is due upon the completion of this form.

Once you have paid, please check the option "Zelle Payment Made" or "Venmo Payment Made" below the scan codes.

Zelle Payment Made

Venmo Payment Made

A copy of your responses will be emailed to the address you provided.

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