Memorial Show Online Entry Ashley Brooks Memorial 2021 Open to anyone! Unique IDName First Last Date of Birth* MM slash DD slash YYYY Required to calculate sidepots. HiddenEntry Date MM slash DD slash YYYY YOUTH ADULT MASTERS Email* PhoneSSN* Credit Card Billing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Rider Mailing Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Entry OptionsEntry Horse 1 Price: Entry Horse 2 Price: Entry Horse 3 Price: Entry Horse 4 Price: How many horses will you be entering?* One Two Three Four None (stall reservation only) For the OPEN races, you can indicate a drag preference. This is on a 1st come, 1st served basis. Even though spaces in the preferred drag may be available online, if people enter via postal mail, their preferences will be considered as well.Horse #1 Name Horse 1 Friday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 1 Saturday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 1 Sunday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Fees $100 Fri Open (90% payback) $25 Fri Open Age Sidepots $200 Derby ($10,000 Added - Can roll to open) $25 Sat 12 and under ($50 added) $60 Sat Open ($4000 Added) $25 Sat Open Age Sidepot $400 2D Futurity ($15000 2 rounds with AVG) $25 Sun 12 and under ($50 added) $50 Sun Open ($2000 Added) $25 Sun Open Age Sidepot Horse 1 Roll Derby to Friday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 1 Roll Futurity to Saturday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 1 Roll Futurity to Sunday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse #2 Name Horse 2 Friday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 2 Saturday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 2 Sunday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Fees $100 Fri Open (90% payback) $25 Fri Open Age Sidepots $200 Derby ($10,000 Added - Can roll to open) $25 Sat 12 and under ($50 added) $60 Sat Open ($4000 Added) $25 Sat Open Age Sidepot $400 2D Futurity ($15000 2 rounds with AVG) $25 Sun 12 and under ($50 added) $50 Sun Open ($2000 Added) $25 Sun Open Age Sidepot Horse 2 Roll Derby to Friday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 2 Roll Futurity to Saturday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 2 Roll Futurity to Sunday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse #3 Name Horse 3 Friday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 3 Saturday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 3 Sunday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Fees $100 Fri Open (90% payback) $25 Fri Open Age Sidepots $200 Derby ($10,000 Added - Can roll to open) $25 Sat 12 and under ($50 added) $60 Sat Open ($4000 Added) $25 Sat Open Age Sidepot $400 2D Futurity ($15000 2 rounds with AVG) $25 Sun 12 and under ($50 added) $50 Sun Open ($2000 Added) $25 Sun Open Age Sidepot Horse 3 Roll Derby to Friday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 3 Roll Futurity to Saturday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 3 Roll Futurity to Sunday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse #4 Name Horse 4 Friday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 4 Saturday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Horse 4 Sunday Open DragNo Preference1 - 5051 - 100101 - 150151 - 200201 - 250251 - 300Fees $100 Fri Open (90% payback) $25 Fri Open Age Sidepots $200 Derby ($10,000 Added - Can roll to open) $25 Sat 12 and under ($50 added) $60 Sat Open ($4000 Added) $25 Sat Open Age Sidepot $400 2D Futurity ($15000 2 rounds with AVG) $25 Sun 12 and under ($50 added) $50 Sun Open ($2000 Added) $25 Sun Open Age Sidepot Horse 4 Roll Derby to Friday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 4 Roll Futurity to Saturday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.Horse 4 Roll Futurity to Sunday Open? Yes, roll to open Please make sure to pay for Open race if you want to roll.NOTE: You must enter the OPEN RACE in order to enter a SIDE POT. Please correct your entry if you have entered a SIDE POT without entering the corresponding OPEN RACE.Stall & RV Reservations ($30 ea per night)VIP RV Spots Price: Limited VIP RV Spots ($150 per weekend)You may reserve these limited VIP RV Spots with 50 amp hookups / sewer as long as quantities last. RV 81 RV 82 RV 83 RV 84 RV 85 RV 86 RV 87 RV 88 RV 89 RV 90 RV 91 RV 92 RV 93 RV 94 RV 95 RV 96 RV 97 RV 98 RV 99 RV 100 RV 101 RV 102 RV 103 RV 104 RV 105 RV 106 RV 107 RV 108 RV 109 RV 110 RV 111 RV 112 RV 113 RV 114 RV 115 RV 116 Thursday RV Spots (not VIP) Price: $30.00 Quantity: Friday RV Spots (not VIP) Price: $30.00 Quantity: Saturday RV Spots (not VIP) Price: $30.00 Quantity: Thursday Stalls Price: $30.00 Quantity: Friday Stalls Price: $30.00 Quantity: Saturday Stalls Price: $30.00 Quantity: Shavings Price: $8.00 Quantity: Stall and RV PreferencesEnter desired stall and RV numbers. (not guaranteed)Online Entry Fee (goes to Memorial Scholarship) Price: One-Time Processing Fee ($15) Price: Subtotal $0.00 Coupon Credit Card Fees $0.00 Total $0.00 REQUIRED LIABILITY RELEASE* Yes, I agree I UNDERSTAND THAT CREDIT CARD FEES ARE NON-REFUNDABLE. Under Tennessee law, an equine activity sponsor is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risk of equine activities. I understand that every effort will be made to ensure the safety of each contestant and his/her horse(s). I hereby release TN IBRA Barrel Racing and all sponsors involved. I also acknowledge that I have read, understand, and agree to abide by the race rules and any ground rules enforced for specific events. (See website and/or registration table for rules and complete event details.)Comments to ProducerPlease check your email after submitting your entry for confirmation.Credit CardCard Details Cardholder Name
