Posted on July 24, 2022 by tametRunnin for Jimbo Barrel Race $1500 Added Sept 24 Runnin for Jimbo Barrel Race $1500 Added Sept 24 Name* First Last Date of Birth* MM slash DD slash YYYY Parent/Guardian if Minor Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Runnin for JimboSess 1 830-930Sess 1 930-1030Sess 2 115-215Sess 3 445-545 Ses 1 Exh 830-930 (50 left)Please enter a number from 1 to 5.Sess 1 Exh 930-1030 (44 left)Please enter a number from 1 to 5.Sess 2 Exh 115-215 (45 left)Please enter a number from 1 to 5.Sess 3 Exh 445-545 (50 left)Please enter a number from 1 to 5.Entry Information - If entering Youth and Open, Yth time will Roll Over to Open Horse 1* Open 5DSelectSec 1: 11-1Sec 2: 2:30-4:30Sec 3: 6-endYth/Adult/Sr IncSelectSec 1 YthSec 2 YthSec 3 YthAdult 19-49Sr 50+ADD 2nd Horse Yes No Horse 2 Open 5DSelectSec 1: 11-1Sec 2: 2:30-4:30Sec 3: 6-endYth/Adult/Sr IncSelectSec 1 YthSec 2 YthSec 3 YthAdult 19-49Sr 50+ADD 3rd Horse Yes No Horse 3 Open 5DSelectSec 1: 11-1Sec 2: 2:30-4:30Sec 3: 6-endYth/Adult/Sr IncSelectSec 1 YthSec 2 YthSec 3 YthAdult 19-49Sr 50+ADD 4th Horse Yes No Horse 4 Open 5DSelectSec 1: 11-1Sec 2: 2:30-4:30Sec 3: 6-endYth/Adult/Sr IncSelectSec 1 YthSec 2 YthSec 3 YthAdult 19-49Sr 50+ADD 5th Horse Yes No Horse 5 Open 5DSelectSec 1: 11-1Sec 2: 2:30-4:30Sec 3: 6-endYth/Adult/Sr IncSelectSec 1 YthSec 2 YthSec 3 YthAdult 19-49Sr 50+Office Fee* Office Fee Entry Fees $0.00 Disclaimer*By submitting this form, I and/or my heirs and/or assignees hereby release Kay Nerwich,Holly Collins, Leann Turney and Stacey Gates, any representatives, employees, sponsors, show promoters, agents of same and anyone else from any claim or right for damages which may occur to me, my child, my horse or any other property while attending the Runnin for Jimbo Memorial Barrel show. I realize there are certain risks in any sport I take full responsibility for myself, my child, and my property including my horse, should an incident occur. I also understand that 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 agree to the Terms of Service Convenience Fee (Non Refundable) $0.00 Billing Total $0.00 Note to ProducerCredit Card* DiscoverMasterCardVisaSupported Credit Cards: Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name CAPTCHA Δ Share this:TweetPrintMoreEmailLike this:Like Loading...
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