MPAA Saturday, October 16 Jackpot Barrel Entry Form
Preregistration will be taken up until 10:00 PM on Friday night. After that time, we will shut off preregistration and you will have to register at the crows nest the day of the event.
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Name (first name, last name) *
Name of Horse *
Number of Exhibitions (Used in any combination for barrels and/or pole exhibitions)
Clear selection
Events: Check all that apply to ONLY the horse and rider above. Add each event price to your total *
Required
Carry Overs
Office Fee ($5.00) *
I would like to participate in series end awards. (More details can be found on https://www.mayportarena.com/jackpot-series)
Add the total amount from Office Fee, Exhibitions, Events, and optional series end award fee and type in the box below: *
Is the rider a member of the PEWC? *
Required
Phone Number *
The rider is a PAID MPAA member (This means you have ACTUALLY PAID your membership, not that you are GOING TO pay your membership) *
This is a CASH ONLY jackpot. I will bring the EXACT AMOUNT of CASH with me on the day of the jackpot. *
The Equine Activity Liability laws of the State of North Dakota, §53-10-02, state among its statutory provisions that “Except as provided in Subsection 2, an equine activity sponsor or an equine professional is not liable for an injury to or the death of a participant engaged in an equine activity, and, except as provided in subsection 2, no participant or participant’s representative may maintain an action against or recover from an equine activity sponsor or an equine professional for an injury to or the death of a participant engaged in an equine activity." I, having read and understood the content of this document, agree and consent to the provisions contained herein. *
I will clean up after myself and horse(s) prior to leaving the grounds. I understand that failure to do so will result in me being banned from any further MPAA events for the 2021 season with no-refunds given. *
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