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ENTRY FORM

                                                                         Entries must be received by August 10, 2011 to avoid penalty

                                                   Registration papers must accompany entry to be accepted 

Owner_______________________________________NCHA#____________________

Address________________________City________________State_______Zip________
Telephone________________________________ SS# (required)___________________________
E-mail Address   _______________________________________  Horse’s Name____________________________________________________________
Rider                                                   NCHA #                                                      
Signature_______________________________________MasterCard ___Visa Number ____________ Amount $                           Exp.Date ______
The West Texas Futurity          Make checks payable to: The West Texas Futurity
Cheryl Daniel, Secretary              Payments for entry fees must be received to be included in the draw.              
3200 E. Willow Creek Dr                                  Telephone 806-383-8683     Fax 866-385-4855
Amarillo, Tx.  79108                                                                           For rules and information go to
                                                                                                        www.westtexasfuturity.com                                                    
                                                          Stall fees will be collected at the show.  For stall reservations call 1-817-929-6516.All
                                                                       Classes Must be Pre-Entered. Riders may show unlimited entries.
 ___3-Year Open. Entry Fee $1400.00
.___3-Year Old Limited Open. Entry Fee $400.00 (Class within Class).
___3-Year Old Open Gelding Stakes. Entry Fee $400.00 (Class within Class)
.___3-Year Non-Pro. Entry Fee 1400.00.
___3-Year Old Limited Non-Pro. Entry Fee $400.00 (Class within Class).
___3-Year Old Non-Pro Gelding Stakes. Entry Fee $400.00 (Class within Class)
___4-Year Open. Entry Fee $1400.00.
___4-Year Old Limited Open. Entry Fee $400.00 (Class within Class).
___4-Year Old Open Gelding Stakes. Entry Fee $400.00 (Class within Class)
___4-Year Old Open 10,000 Novice. Entry Fee $400.00 (Class within Class)
___4-Year Non-Pro. Entry Fee $ 1400.00.
___4-Year Old Limited Non-Pro. Entry Fee $400.00 (Class within Class)
___4-Year Old Non-Pro Gelding Stakes. Entry Fee $400.00 (Class within Class)
___4-Year Old Non-Pro 15,000 Novice. Entry Fee $400.00 (Class within Class)
___4-Year 50K Amateur. Entry Fee $800.00.
___5/6-Year Open. Entry Fee $1400.00.
___5/6-Year Limited Open. Entry Fee $400.00 (Class within Class).
___5/6-Year Old Open Gelding Stakes. Entry Fee $400.00 (Class within Class)
___5/6-Year Old Open 10,000 Novice . Entry Fee $400.00 (Class within Class)
___5/6-Year Non-Pro. Entry Fee $1400.00.
___5/6-Year Limited Non-Pro. Entry Fee $400.00 (Class within Class)
___5/6-Year Non-Pro Gelding Stakes. Entry Fee $400.00 (Class within Class)
___5/6-Year Non-Pro 15,000 Novice. Entry Fee $400.00 (Class within Class)
___5/6-Year 50K Amateur. Entry Fee $800.00.
___50K  Amateur 7UP Entry Fee $800.
                                                                                                                 Host Hotel
                                                                                                          The Ambassador1-806-358-6161