ENTRY FORM (Print & Mail)
Click Here for the RULES
Horses Name
#1
#2
#3 #4
#5 #6
Breed
#1 #2
#3 #4
#5 #6
Registration Number
#1 #2
#3 #4
#5 #6
Color
#1 #2
#3 #4
#5 #6
Sex
#1 #2
#3 #4
#5 #6
Month & Year Foaled
#1 #2
#3 #4
#5 #6

Rider's Name

#1
#2
#3
#4
#5
#6
Owner:
Street or Box Number:
City, State, Zip:
Phone Number:
( ) -

I (We) hereby apply to enter above named horses in the Southern Rebel Barrel Futurity subject to the rules. I (We) hereby release the above named from any claim or loss to myself, rider, emplyees, horses, and/or equipment.

Signed: _____________________________________ Date: _________________

Print and mail in this form. It can not be submitted online.

Southern Rebel Futurity Rules
1. Futurity open to any horse which is a foal of 2006 and later (4 years and younger). SRF is a 2010 futurity.
2. Horse may never have competed in any barrel race prior to 12-1-09. Horse may have entered in other events.
3. Rider may ride more than one horse.
4. Futurity payback: 30% First Go, 30% Second Go, 40% Average. There will be a $35.00 starting fee for eveyone entering futurity due at check in time.
5. 20% of entry fee will be deducted.
6. Entry Fee - $354.00
7. Pay Schedule: 10/10/09 - $100; 11/10/09 - $100; 12/10/09 - $154; for a total of $354.00.
8. $75.00 Substitution Fee - Horse must have same owner. Transfers are not accepted. NO REFUNDS!
9. Late Fee - $25.00 each payment missed.
10. Stall Fee - $50.00 total for week starting 12/30/09
11. Mail payment to: C.D. Giacobone, P.O. Box 1100, Bath, SC 29816
12. Negative Coggins papers within 12 months.
13. 4-D Divisions will be determined as follows: 1-D Fastest Time; 2-D - add 1/2 second; 3-D add 1 second; 4-D add 2 seconds.
14. Horse may be entered only 1 time in open classes.
15. One time processing fee of $10
16. 2D futurity- 1/2 sec split each go, 1 sec for average.
16. 30% of Entry Fee will be deducted on open classes. Payback 100% added money.
Copyright © 2009
Southern Rebel Barrel Futurity