____________________________________________________
2ND ANNUAL SPRING BLOWOUT ENTRY FORM
NAME:
PHONE:
ADDRESS:
SS#
E-MAIL
HORSE 1:
HORSE 2:
HORSE 3:
HORSE 4:
OPEN 4-D BARREL ENTRY SATURDAY
X $50.00 = $
OPEN 4-D BARREL ENTRY SUNDAY
X $50.00 = $
OPEN PROCESSING FEE PER RIDER $10.00
Daily/$20.00 Weekend = $
EXHIBITIONS ($4 each or 3 for $10)
= $
STALLS ($40 DAILY/$60 WEEKEND)
=
$
LATE FEE FOR EACH SATURDAY ENTRY
X $10.00 = $
LATE FEE FOR EACH SUNDAY ENTRY
X $10.00 = $
CREDIT CARD FEE
$ 5.00 = $
TOTAL
$
MAIL ENTRIES TO:
SOONER STATE RODEO ASSOCIATION
P.O. Box 47146 TULSA,
OK 74147-1463
Credit Card Type
CC #
EXP. DATE
CVC CODE
I/We will not hold SSRA, Tulsa Fairgrounds Expo, sponsors, or personnel responsible for
injuries and/or damage to persons, animals or vehicles. I understand there will
be a $5.00 fee for all Credit Cards.
Signature:
NEGATIVE COGGINS REQUIRED
HORSE & RIDER COMBINATION CAN ENTER ONLY ONCE
ENTRIES MUST BE POSTMARKED BY MARCH 21st
ENTRIES TAKEN UNTIL LAST HORSE RUNS
NO CHECKS ON DAY OF RACE / NO REFUNDS AFTER FIRST HORSE RUNS
ENTER AS MANY HORSES AS YOU WANT / NO RIDER SUBSTITUTIONS OR SWITCHING OF DRAW NUMBERS
ALLOWED