THIS IS NOT AN ON-LINE SUBMISSION FORM - PLEASE COMPLETE, PRINT  AND MAIL BACK TO:

Cristi Gaffney, Big Red Run, 82257 Linscott Ave., Anselmo, NE 68813

Custer County Fairgrounds

Broken Bow, NE

October 30, 31 & November 1, 2009
Horse & Rider Costume Contest

15 minutes after Open on Saturday

Gift Certificates for 1-2-3 to

Way Out West & Huckleberrys

 

One Entry Blank Per Rider

80% of fees paid back

plus 100% of added money

Open Runs 4-D Format ½ second splits

Using NE 4-D Rulebook

Entries Postmarked by 10-22-2009

 

Prizes for 1-2-3

high money

winners of each D!!

Friday October, 30, 2009 @ 7:30 pm CT, approved  BBR, NBHA NE04, NABRS, NE4-D

Entry fee $45

Horse 1

Horse 2

Horse 3

Horse 4

 

Saturday October 31, 2009@ 12:00 pm CT approved BBR, NE-4D

Entry fee $45, $800 added money

Horse 1

Horse 2

Horse 3

Horse 4

 

Sunday November 1, 2009 @ 9:00amCT approved BBR, NE-4D

Entry fee $45, $800 added money

Horse 1

Horse 2

Horse 3

Horse 4

 

For more information please contact:  Cristi Copsey Gaffney,

308-530-7632 cell             cristicopsey@yahoo.com

Futurity - October 31 & November 1, 2009

Entry fee $100 (2 runs) - $500 added money

Open to horses 5 years of age and younger. This run will run in conjunction with the Open 4D.  Pay off will be 40% in the average and 30% in each go round.  No 4-D format in the futurity.  Must send a copy of registration papers with entry. Present horse papers, health and coggins at check in.  Sponsor - Ft. Dodge (Must have at least 10 horses to hold futurity sidepot.)

Horse 1

Horse 2

Horse 3

Horse 4

 

Youth 13 and under as of  10-31-09, Saturday October 31, 2009 @ 11:30 am CT

$15 entry fee, $50 added money.  NO processing fee or late fees

for youth.  (Prizes for all participants) Sponsor - Runza

Youth Name    

Birthdate         

Horse Name 1 

Horse Name 2 

<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Contestant Name: 

Address                 

City,State,Zip        

Phone #                  

Email                       

BBR #     NBHA #   

 

NABRS member: yes/no      NE-4D member: yes/no

Checks payable to Big Red Barrels

Total Open Entry Fees:                     

Futurity Fee:                                       

Processing Fee:                                    ____$20.00__

Stall Fee:   

     $20 (one night) x _____ horses  

     $35 (Weekend) x _____ horses   

Camper Fees:  

     $15/night x _____ night(s)            

Total:                                                    

 

________________________________________________________               ___________________

Contestant signature (Parent or Guardian if under 18 years of age)                         Date

 

STALLS:   Stall charges include one bag of shavings.   Weekend rate is for Friday and Saturday only. 

                    Extra bags of shavings are available @ $7/bag from the Fairgrounds crew.

 

Warning:  Under NE law, an equine professional is not liable for injury to or the death of a participant in equine activities resulting from

                    the inherit risks of equine activities.