Poison Spider Name:

Spring Address:

Barrel Race Phone: Email:

Make checks payable to:

Amy Strickland Mile Hi = Yes / No NWBRA = Yes / No WPRA = Yes / No
28899 W Poison Spider Rd - Casper, WY, 82604

FRIDAY SATURDAY SUNDAY

Exhibition Open 4D Youth 2D Rancher 2D Exhibition Open 4D Youth 2D Rancher 2D Poles 2D Pee Wee Glow Stick 4D Exhibition Open 4D Youth 2D Poles 2D Rancher 2D TOTAL
$5 / each $25 $25 $25 $5 / each $50 $50 $50 $30 $10 $25 $5 / each $50 $50 $30 $50

Horse's Registered Name

Horse's Registered Name

Horse's Registered Name

Office Fee (One time for weekend, per rider) $20

Stalls ($20/night) or Pen ($5/head/night)

RV Hookup ($25/night)

$10 Late Fee (Entered after April 25)

TOTAL DUE