Note – you must send a copy of your horse’s registration papers (front and back) with this nomination form. If you are not the owner listed on the papers, the OWNER must sign. NO REFUNDS FOR ANY REASON.

Make sure this form is filled out in full.

*By signing below, I am nominating the following horse to the Hiro Energy Challenge Slot Race .

I am also entering the NRF Tour Finals
I plan to enter the UBRA Tour Open or Youth Barrel Race

SLOT OWNER
Owners’ Name Owner’s Social Security #
Address
City State Zip Phone
Email
*Signature Owner ______________________________________

RIDER
Rider’s Name Rider’s Social Security #
Address
City State Zip Phone
Email
*Signature Rider ______________________________________

Hiro Energy Challenge Slot Race ENTRY (horse information) 1 entry form per horse please.

Horse’s Reg Name Sex Color
Breed Registration # Year Foaled
Sire Dam Brand

ck #_____

Stall Request: ________________________

$150
Pay in Full by Oct 17th

MAIL PAYMENT TO: NRF Tour Finals - 960 Bunyan Ave - Balsam Lake, WI 54810

Or Pay via Credit Card (5% fee); Contact Jessica at (715) 857-6343 or Jessica@ubra.org

Show Schedule and Updates will be available on www.NRFTour.com & www.UBRA.org

SLOT OWNER Owners’ Name Owner’s Social Security # Address City State Zip Phone Email *Signature Owner ______________________________________

RIDER Rider’s Name Rider’s Social Security # Address City State Zip Phone Email *Signature Rider ______________________________________

SLOT OWNER
Owners’ Name Owner’s Social Security #
Address
City State Zip Phone
Email
*Signature Owner ______________________________________

RIDER
Rider’s Name Rider’s Social Security #
Address
City State Zip Phone
Email
*Signature Rider ______________________________________