Entry Form

Dates of August Show *

October 10, 2020
October 11, 2020

Checkbox both shows only if they are both identical information. If not identical then checkbox which show date you want. You have to submit each date separate.

Cell Phone Number *

Enter your cell phone number in case we need to get ahold of you for problems with your entry form.

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Email

Confirm Email

Enter your email, this will only be used for our purpose to send you news updates or to clarify information.

BBR number

Enter your BBR #, if you want to qualify for points with BBR.

Member of CCBR

Yes
No

Enter "Yes" if you are a member with CCBR to qualify for our year end final show. We will have extra added money on our last show for members only.

DOB *

Enter date of birth, we use this to determine that you are in the right age class. This DOB is for office use only.

Registered name of horse (1)

Class Entries (1)

Roll Over from Age class to Open class (1)

Yes
No

Enter "Yes" if you want to roll over your time from age class to "Open" class. If left blank, we will default to no roll over time.

Registered name of horse (2)

Class Entries (2)

Roll Over from Age class to Open class (2)

Yes
No

Enter "Yes" if you want to roll over your time from age class to "Open" class. If left blank, we will default to no roll over time.

Registered name of horse (3)

Class Entries (3)

Roll Over from Age class to Open class, (3)

Yes
No

Enter "Yes" if you want to roll over your time from age class to "Open" class. If left blank, we will default to no roll over time.

Registered name of horse (4)

Class Entries (4)

Roll Over from Age class to Open class (4)

Yes
No

Enter "Yes" if you want to roll over your time from age class to "Open" class. If left blank, we will default to no roll over time.

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