April 26-28, 2024 | WATERLOO, IA - Secure Online Entry Form

Contestant Information

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Last Name *

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NBHA #

BBR # No Yes

WPRA # No Yes


Comments Limited to 150 characters.
We do our best to space out those that are running multiple horses, but keep in mind that it is a RANDOM DRAW.

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SECTION 1

	Quantity	Fee	Available
BARN #15 - STALL w/ 2 bag of shavings		$60.00	0
ALL horses on grounds overnight must stall!
JUMP OUT FEE, per trailer. Applies if NOT STALLING		$20.00	42
Select if hauling in/out (not stalling)
SINGLE DAY JUMP OUT FEE, Applies if not stalled		$10.00	34
1 day jump out, PER TRAILER
PRIMITIVE or GENERATOR CAMPING | Wknd=FRI-SUN		$20.00	64
1x facility fee per trailer/camper

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Horse Name #1 Registered Name

	Class	Carry Over	Entry Fee
	SUNDAY Open 5D | $1250 Added		$57.00
	OPEN to ALL I IBRA/NBHA/WPRA APPROVED
	SUN Youth 3D | $200 Added | 18 & Under		$30.00
	SELECT CLASS & CO box if CO from open
	SUN Adult 3D | $100 Added | Ages 19-39		$30.00
	Run will CO from Open if entered in both
	SUN Masters 3D | $100 Added | Ages 40 & over		$30.00
	Run will CO from Open if entered in both
	SUN SENIOR 4D | 50 &over		$30.00
	SELECT CLASS & CO box if CO from Open

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Horse Name #2 Registered Name

	Class	Carry Over	Entry Fee
	SUNDAY Open 5D | $1250 Added		$57.00
	OPEN to ALL I IBRA/NBHA/WPRA APPROVED
	SUN Youth 3D | $200 Added | 18 & Under		$30.00
	SELECT CLASS & CO box if CO from open
	SUN Adult 3D | $100 Added | Ages 19-39		$30.00
	Run will CO from Open if entered in both
	SUN Masters 3D | $100 Added | Ages 40 & over		$30.00
	Run will CO from Open if entered in both
	SUN SENIOR 4D | 50 &over		$30.00
	SELECT CLASS & CO box if CO from Open

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Horse Name #3 Registered Name

	Class	Carry Over	Entry Fee
	SUNDAY Open 5D | $1250 Added		$57.00
	OPEN to ALL I IBRA/NBHA/WPRA APPROVED
	SUN Youth 3D | $200 Added | 18 & Under		$30.00
	SELECT CLASS & CO box if CO from open
	SUN Adult 3D | $100 Added | Ages 19-39		$30.00
	Run will CO from Open if entered in both
	SUN Masters 3D | $100 Added | Ages 40 & over		$30.00
	Run will CO from Open if entered in both
	SUN SENIOR 4D | 50 &over		$30.00
	SELECT CLASS & CO box if CO from Open

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Horse Name #4 Registered Name

	Class	Carry Over	Entry Fee
	SUNDAY Open 5D | $1250 Added		$57.00
	OPEN to ALL I IBRA/NBHA/WPRA APPROVED
	SUN Youth 3D | $200 Added | 18 & Under		$30.00
	SELECT CLASS & CO box if CO from open
	SUN Adult 3D | $100 Added | Ages 19-39		$30.00
	Run will CO from Open if entered in both
	SUN Masters 3D | $100 Added | Ages 40 & over		$30.00
	Run will CO from Open if entered in both
	SUN SENIOR 4D | 50 &over		$30.00
	SELECT CLASS & CO box if CO from Open

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Processing Fee(applies to each entry submitted)	$10.00
Total	$0.00

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REVIEW ENTRY CAREFULLY BEFORE SUBMITTING NO REFUND FOR ANY REASON AFTER ENTRY!

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• Terms and Conditions:

  GFB productions reserves the right to refuse to sell an item that is priced incorrectly or whose price is the result of a web page or programming error. GFB productions reserves the right to update or modify these Terms and Conditions at any time without prior notice.

DISCLOSURE: When entering this event, you agree to the following: Rider agrees to become familiar with and abide by the rules of this event. Rider understands that Go For Broke Productions (producers of this event) along with the staff and associates of GFBP are not responsible for accident, injury, theft or death to themselves or property while attending, competing, camping or spectating at this event. Rider understands that Go For Broke Productions reserves the right to refuse entry for any reason. WARNING: Under Iowa Law, a domesticated animal professional is not liable for damages suffered by, an injury to or the death of a participant resulting from the inherent risks of domesticated animal activities, pursuant of Iowa Code Chapter 673. You are assuming inherent risks of participating in this domesticated animal activity.