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REINING ON MUSIC WHOA                              ENTRY FORM                                      August 25-26 2001
                                                                  

HORSE NAME________________________________________________                                               BACK #_______________

COMPETITION LICENSE_______________________                                                                    COGGINS (date)______________

OWNER NAME__________________________________ NRHA #__________  TYPE (circle): REG   NON PRO   YOUTH

ADDRESS______________________________________________                   PHONE___________________________

CITY__________________________________________ STATE_____________ ZIP ______________

RIDER NAME__________________________________ NRHA #__________   TYPE (circle): REG   NON PRO   YOUTH

ADDRESS______________________________________________                 PHONE___________________________

CITY____________________________________________ STATE_____________ ZIP ______________

PAY EARNINGS TO:________________________________    STAYING AT (DURING SHOW)______________________

SAT

SUN

CLASS

ADDED

ENTRY/JUDGE FEE SATURDAY

ENTRY/JUDGE FEE SUNDAY

OFFICE USE

.

.

GREEN REINER 1

POINTS

$20/15

$20/15

.

.

.

GREEN HORSE

JACKPOT

$20/15

$20/15

.

.

.

GREEN REINER 2

POINTS

$20/15

$20/15

.

.

.

LADIES

JACKPOT

$20/15

$20/15

.

.

.

YOUTH 14-18

POINTS

$10/--

$10/--

.

.

.

YOUTH 13 & UNDER

POINTS

$10/--

$10/--

.

.

.

ROOKIE

JACKPOT

$20/15

$20/15

.

.

.

NOVICE HORSE OPEN

$1000/500

$100/40

$50/30

.

.

.

NOVICE HORSE NON PRO

$500/250

$50/30

$25/20

.

.

.

NON PRO

$1000/500

$100/40

$50/30

.

.

.

INTERMEDIATE NON PRO

$500/250

$50/30

$25/20

.

.

.

LIMITED NON PRO

$200/200

$20/20

$20/20

.

.

.

PRIMETIME NON PRO

JACKPOT

$20/--

$20/--

.

.

.

OPEN

$1000/500

$100/40

$50/30

.

.

.

INTERMEDIATE OPEN

$500/250

$50/30

$25/20

.

.

.

LIMITED OPEN

$500/250

$50/30

$25/20

.

.

STALLS

$50/WEEKEND

.

.

GROUNDS FEE

$10/DAY

.

.

PAID WARM-UPS

$15/5 MINUTES

.

.

TOTAL

.

RECEIVED BY________________________          CK #___________          CASH_____________      DATE_______________