Diamond W Blast Off Bash

  July 22nd & 23rd, 2005
 Draw will be posted July 20th, 2005
 ***NOTE!!***  (Entries must be U.S. Postmarked by July 15th, 2005 -Metered Postage Machine Stamp is NOT Sufficient )
 Click here for Flyer

Print Clearly
Name:____________________________________ 
Address: _________________________________
City, State, Zip:____________________________
Phone#:__________________________________  
Email:___________________________________ 
Social Security Number:_____________________
(Entries received without SS # WILL BE RETURNED!)  
DOB:__________ BBR#:______________
                     (Must include BBR # for points credit)
For Further Info Contact Show Producers
Destry Fleming & Corky Barder  - 817-563-7225
Mail Entry To: Win More Productions
c/o Destry Fleming & Corky Barder
PO Box 371
Mansfield, TX 76063
Email - destryfleming@uwinmore.com

Please Note - If you haul together or want to be stalled together you must send your entries together in the same envelope.

INCENTIVE RACES!!!
 Youth (18 & Under): #____x $20ea =____
 Young Adult Female (19-39): #____x $20ea =____
 Adult Male (19-55): #____x $20ea =____
 Seasoned Adult Female (40-55) #____x $20ea =____
 Senior Rider, 56 & Over #____x $20ea =____

-----------------Horse Incentives------------------
Futurity Horse 5 & Under #____x $20EF = ____
Horse Name ______________________________
Horse Name ______________________________
Open Horse (6-12) #____x $20EF = ____

Horse Name ______________________________
Horse Name ______________________________
Senior Horse(13 & Over) #____x $20EF =_____

Horse Name ______________________________
Horse Name ______________________________
Friday July 22nd:
Exhibitions from 5:00 pm until 8:30 pm sign-up when you check in. (Exhibitions will fill up fast.)
Open starts at 9:00pm
Saturday July 23rd:
Exhibitions from 4:00pm to 7:30pm
Race starts at 8:00pm
STALLS (grand opening special) $15 per stall for the weekend!!!!
includes 1 bag of shavings
RV Hookups (grand opening special) $15 per hookup for the weekend!!!!
***VET-OUTS RECEIVED BY FAX FROM YOUR VETS' OFFICE ONLY - MUST BE RECEIVED BY 12:00AM July 22nd, 2005.  (817) 563-7225.
**NEW VET RELEASES WILL BE ACCEPTED AT THE RACE UNTIL THE FIRST HORSE RUNS**

Registered Names of Horses:  
Horse #1:__________________________
Horse #2:__________________________
Horse #3:__________________________
Horse #4:__________________________
Horse #5:__________________________
Horse #6:__________________________
No Horses tied overnight per arena! ($50 fine)
This will be a huge race! There is a limited number of stalls, we anticipate selling out!! Dont take the chance at not getting one.  Pre-Pay for them when entering, and have your shavings already in them!!
 

 

Enter online w/your CREDIT CARD Thru

 

Friday Total # Open 4D Entries
Saturday Total # Open 4D Entries:
Saturday Total Incentive Entries:
Stalls (Whole weekend & 1 bag of Shavings)
RV Hookups (whole weekend)
Processing Fee (1 per Contestant)
Late Fee (1 time)
Total

#___ x $30 EF = $______
#___ x $40EF = $______
#___ x $20.00 = $______
#___ x $15.00 = $______
#___ x $15.00 = $______
$ 10.00
#___ x $5.00 $_______
$_______

WARNING: UNDER TEXAS LAW A 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.  FURTHER, I, THE UNDERSIGNED, DO HEREBY AGREE TO HOLD HARMLESS ALL OWNERS, MANAGERS AND  AGENTS OF RACE PRODUCTION AND HOSTING FACILITY FOR ANY AND ALL INCIDENTS OR SITUATIONS WHICH MAY ARISE. I also understand that any Video shot of me is owned by New Creations Productions and I release any ownership of my image to New Creations Productions. If I choose not to be videoed I will let New Creations Productions know prior to my run.
Signature:__________________________________ Print Name:________________________ Date:___________
IF CONTESTANT IS UNDER 18 YEARS OF AGE: Signature of Parent or Legally Appointed Guardian:________________________
Printed Name:_____________________________ Date: ______________
By signing, I acknowledge that I have read, understand, agree and accept the above statement