Posted on January 18, 2023March 18, 2023 by tametCowboy Legacy Barrel Race April 2 Northcrest Equestrian Center 3900 CR 805 B Cleburne , TX 76301 Cowboy Legacy Barrel Race April 2 Name* First Last Date of Birth* MM slash DD slash YYYY AgeParent/Guardian if Minor Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Cowboy Legacy Race 2023Age IncOffice FeeExh 11-1130Exh 1130-12Exh 12-1230Exh 5-530Exh 530-6Exh 6-630Exh 11-1130 (21 left)Please enter a number from 1 to 5.Exh 1130-12 (15 left)Please enter a number from 1 to 5.Exh 12-1230 (5 left)Please enter a number from 1 to 5.HiddenExh 5-530 (18 left)Please enter a number from 1 to 5.HiddenExh 530-6 (21 left)Please enter a number from 1 to 5.HiddenExh 6-630 (19 left)Please enter a number from 1 to 5. Entry InformationHorse 1* 3D Jr 16 & Under 3D Jr 16 & U Open 5D Open 5D CO from 3D Jr? Yes No Sr Inc 50+ Sr Inc Horse 2 3D Jr 16 & Under 3D Jr 16 & U Open 5D Open 5D CO from 3D Jr? Yes No Sr Inc 50+ Sr Inc Horse 3 3D Jr 16 & Under 3D Jr 16 & U Open 5D Open 5D CO from 3D Jr? Yes No Sr Inc 50+ Sr Inc Horse 4 3D Jr 16 & Under 3D Jr 16 & U Open 5D Open 5D CO from 3D Jr? Yes No Sr Inc 50+ Sr Inc Horse 5 3D Jr 16 & Under 3D Jr 16 & U Open 5D Open 5D CO from 3D Jr? Yes No Sr Inc 50+ Sr Inc 1 Time Award Fee* 1 Time Award Fee Entry Fees $0.00 Disclaimer*By submitting this form, I and/or my heirs and/or assignees hereby acknowledge Under Texas Law (Chapter 87, Civil Practice and Remedies Code) an equine professional is not liable for any injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities and I hereby release Cowboy Legacy and any & all affiliates from any claim/liability or loss to myself, employees, horses and/or equipment. Participant agrees to abide by rules of the "show management" and affirms that all horses brought onto premises have current negetive coggins. I agree to the Terms of Service Convenience Fee (Non Refundable) $0.00 Billing Total $0.00 Credit Card* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Note to ProducerCAPTCHA Δ Share this:TweetPrintMoreEmailLike this:Like Loading...
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