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Betty Roper Battle of the Barrels
PRE-ENTRY FORM DEADLINE NOVEMBER 14th
!!! IF ORDERING T-SHIRTS, DEADLINE IS NOV. 2ND !!!
No fee for entering late
Cash only the day of the race:
November 21, 2009
NAME______________________________________
ADDRESS____________________________________PHONE____________________________________
HORSE______________________________________HORSE____________________________________
HORSE______________________________________HORSE____________________________________
OPEN $30.00 x ______________________________
PEEWEE 8 AND UNDER $10_____________________
JUNIORS 14 AND UNDER $15____________________
T-Shirt $15 X___________________write sizes________________ Youth xs,sm,med,lg,--Adult
sm,med,lg,xlg,xxlg,xxxlg
Sweat shirts $30X______________write sizes__________________same sizes available as t-shirts
make checks payable to: Stephanie Rolland
mail to: Stephanie Rolland
7900 W 123rd St So
Oktaha Ok. 74450
I understand that every effort will be made to insure the safety of each contestant & his/her horse(s). Entry
constitutes not holding producers, arena owners, sponsors or personnel, responsible for injuries and/or damages
to persons, animals or vehicles. I understand that the Oklahoma Activities Act protects all the above mentioned in
case of death, injury or loss of any kind.
Signature/ or parents signature if a minor
___________________________________________________________
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