609 Hwy 470
Lecompte, LA 71346
ph: 318 445-8907
alt: 318 729-4323
susan
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SUPER SONIC
$1500 Added Open 4D Barrel Racing
March 20, 2010
Exhibition 9-11 am Show starts @ Noon -- $200 Added Youth to Follow
LSU-ALEXANDRIA AG CENTER -- HWY 71 SOUTH ALEXANDRIA, LA
Name: _________________________________________ DOB (Youth):_____________
Address: ________________________________________________________________
Phone: _____________Cell#: ____________Email: ______________________________
Horse’s Name Exb $5 or 3/$10 _____________
1. _____________________________ Open $35 X ___ _____________
2. _____________________________ Youth $25 X ___ _____________
3. _____________________________ Subtotal: _____________
4. _____________________________ Processing Fee: _ $10.00____
Total Fees: _____________
Entries must be post marked by March 13th, or there will be a $10 late fee
Mail entries to: Susan Hickman, 609 Hwy 470, Lecompte, LA 71346
Make checks or Money Orders out to: RCBR or River Cities Barrel Racers
Long Sleeve Shirt, Boots or heels down shoes & Hat required
$5 HAT FINE IF LOST DURING THE RUN - CASH ONLY THE DAY OF THE SHOW
For more information contact Susan Hickman Hm 318-445-8907 Cell 318-729-4323,
Warning: Under Louisiana Law, a farm animal activity sponsor or a farm animal professional is not liable for any injury to or death of a participant in a farm animal activity resulting from the inherent risk of farm animal activity. R.S. 9:2795.1. (1999) Constants under 18 years of age must have parent or guardian sign this form.
Signature: ____________________________________________ Date: _____________
Make checks out to: RCBR or River Cities Barrel Racers. THANKS
609 Hwy 470
Lecompte, LA 71346
ph: 318 445-8907
alt: 318 729-4323
susan