CMKJ Shoot Out – October 31st – November 2nd Your Name* First Last Email* Your Age*Please enter a number from 0 to 100.Parent/Legal Guardian if Participant is Under 18* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Upload your current coggins here:Max. file size: 1 GB. Friday 1/2 Hour Sessions 3:30-4 $10 each Quantity Price: $10.00 Quantity Saturday 1/2 Hour Sessions 8-8:30 $10 each Quantity Price: $10.00 Quantity Saturday 1/2 Hour Sessions 8:30-9am $10 each Quantity Price: $10.00 Quantity Friday 1/2 Hour Sessions 4-4:30 $10 each Quantity Price: $10.00 Quantity Friday Barrel Exhibitions 4:30-6pm $5 eachSection Break Quantity Price: $5.00 Quantity Saturday Barrel Exhibitions 9am-11:30am $5 each Quantity Price: $5.00 Quantity Friday Pole Exhibitions 6-6:15pm $5 each Quantity Price: $5.00 Quantity Saturday Pole Exhibitions 11-11:15am $5 each Quantity Price: $5.00 Quantity Office Fee* Office Fee Friday $15 Office Fee Saturday $15 Office Fee Sunday $15 Office Fee For The Weekend Office Fee for PeeWee's in Slot Race No Office Fee for PeeWees not in Slot Race No Office Fees For Exhibitions and Warm Ups First Horses NameFriday Classes for Horse 1 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Saturday Classes for Horse 1 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Pee Wee Slot Race 3D $40 Sunday Classes for Horse 1 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 CMKJ Shoot Out Race 4D for Horse 1 Yes, enter me in the CMKJ Shoot Out Race $100 No, do not enter me in the CMKJ Shoot Out Race Is your Friday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Friday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Sunday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Do you have a 2nd Horse? Yes No 2nd Horses NameFriday Classes for your 2nd Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Saturday Classes for your 2nd Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Pee Wee Slot Race $40 Sunday Classes for Horse 2 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 CMKJ Shoot Out Race 4D for Horse 2 Yes, enter me in the CMKJ Shoot Out Race $100 No, do not enter me in the CMKJ Shoot Out Race Is your Friday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Friday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Sunday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Do you have a 3rd Horse? Yes No 3rd Horses NameFriday Classes for your 3rd Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Saturday Classes for your 3rd Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Pee Wee Slot Race $40 Is your Friday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Friday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Sunday Classes for Horse 3 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 CMKJ Shoot Out Race 4D for Horse 3 Yes, enter me in the CMKJ Shoot Out Race $100 No, do not enter me in the CMKJ Shoot Out Race Is your Saturday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Sunday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Do you have a 4th Horse? Yes No 4th Horses NameFriday Classes for your 4th Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Saturday Classes for your 4th Horse 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 Pee Wee Slot Race $40 Is your Friday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Friday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Saturday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Sunday Classes for Horse 4 2D Poles $25 Pee Wee Barrels $5 Open 4D Barrels $30 Youth 4D Barrels $25 2nd Open 4D Barrels $25 CMKJ Shoot Out Race 4D for Horse 4 Yes, enter me in the CMKJ Shoot Out Race $100 No, do not enter me in the CMKJ Shoot Out Race Is your Saturday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Open Entry a Carry Over from CMKJ Shoot Out Race? Yes - Carry Over No - Carry Over Is your Sunday Youth Entry a Carry Over? Yes - Carry Over No - Carry Over Is your Sunday 2nd Open Entry a Carry Over? Yes - Carry Over No - Carry Over Want Stalls? Stall $45 Quantity Price: $45.00 Quantity Total $0.00 NOTICE: A person who is engaged for compensation in the rental of equines or equine equipment or tack or in the instruction of a person in the riding or driving of an equine or in being a passenger upon an equine is not liable for the injury of death of a person involved in equine activities resulting from the inherent risks of equine activities, as defined in section 895.481 (1) © of the Wisconsin Statutes. I have read and understand the terms above including the fact the Double H Arena is not liable for the injury or death of a person involved in ANY equine activities. Furthermore and I understand that it is my responsibility to insure my tack, equipment, horse and any other property and that Double H Arena is not liable for any loss or damage done to my property.By Submitting this form I understand that this is a liability release and agree to hold harmless Double H Arena and their staff for any and all incidents that may occur to myself or my property while I am on the property of Double H Arena. Section Break
