Lan Bar Barrel Racing - All American Youth - Mega Barrel Race
All American Entry Form
2012 AAYBR Entry Form
Rider Name:_________________________________________Address:__________________________________________
City, State, Zip:_______________________________________________________________________________________
Phone:____________________________________________
Horse 1:____________________________________________X $200.00=_________
Horse 2:____________________________________________X $200.00=_________
Horse 3:____________________________________________X $200.00=_________
Horse 4:____________________________________________X $200.00=_________
Pony:______________________________________________X $100.00=_________
Youth Sidepot:__100% pay back_________________________X $50.00=__________
Teen Sidepot:___100% pay bac__________________________X $50.00=__________
Stall fee:____________________________________________X $75.00=__________
Processing fee per horse:_______________________________X $20.00=__________
Late fee per horse:____________________________________X $50.00=__________
Convenience fee if paying with CC:_5% of total _____________X 5% =____________ Total paid________________
CC Number w/ 3 digit code:_______________________________________________
Total paid:_____________cash______cc______check__________________________
******YOU MUST Have your Social Security Number to receive your check!!! No exceptions!!!******
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All American Youth
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2012 AAYBR Entry Form Rider Name:_________________________________________Address:__________________________________________ City, State, Zip:_______________________________________________________________________________________ Phone:____________________________________________
Click for Entry Form
Jackson, MS
June 21-23, 2012
Check in and late entries taken on June 20 ...
Host Hotels:
Hampton Inn, 320 Greymont Ave., Jackson, MS, (601) 948-4466
Jackson Inn, Jackson, MS, (601) 899-9000
Quality Inn, Jackson, MS, (601) 969-2230 Mention the All American Youth Barrel Race for special rate
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Mega Barrel Race
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Jackson, MS
August 23-25, 2012
Check In and late entries on August 15
Local Weather
86°
30°
°F | °C
Clear
Humidity: 46%
Sat
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Sun
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31
Mon
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Tue
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