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4D Barrels Sign Up
SJVR 4D Barrel Race Sign Up Form
Please complete one form per horse and rider combo.
Rider's Full Name
Horse Name
Race Date
*
(Select Date)
Saturday - July 20
Saturday - August 3
Thursday - August 15
Thursday- September 12
Saturday - September 21
Division
*
Open - TH $40/ SAT $60
Novice - TH $30 SAT $35
Youth - TH $30 SAT $35
Peewee - TH $20 SAT $20
Poles - SAT ONLY $25
If you selected multiple divisions
Carry Time
Do Not Carry Time
SJVR Member
*
Yes - $0
No - $5 Non Member Fee
Outlaw Co-Sanction Number - $5 Fee
Total Cost (Entry + Member Fee + Co-Sanction Fee)
*
Payment Method
*
Venmo - @SJVR-
In Person - Cash or Check
Notes (Example: If you are running two horses and would like to request which horse if first)
I hereby release the San Joaquin Valley Rangers, Outlaw Barrel Races, any staff, volunteers, officials, employees, director or agents of the same from any claim or right for damages which may occur to me, my horse, my children, or other property at this event. I realize there are certain risks in any sport, and I take full responsibility for myself and/or my child if any accident should occur. It is also understood by clicking below, I have read and gree to abide by all rules.
*
By clicking here, I state that I have read and understood the terms and conditions