2015 CBBRC Holiday NFR Race 5D Open Jackpot November 14 11am Grant County Fair Grounds~Kenny Ardell Pavilion~Moses Lake, WA

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3 2015 CBBRC Holiday NFR Race 5D Open Jackpot November 14 11am Grant County Fair Grounds~Kenny Ardell Pavilion~Moses Lake, WA NAME: ADDRESS: PHONE: To avoid late fee entries must be POSTMARKED by 11/07/15. Make checks payable to: CBBRC Mail to: CBBRC 221a Rd 18.5 NE, Soap Lake, WA PEEWEE: $5 entry fee NO OFFICE CHARGE *9 yrs old & under* PeeWee Name: HORSE: $ OPEN 5D Race: $25 entry fee/minimum added $500 & awards!! HORSE: $ HORSE: $ HORSE: $ TARGET RACE side pot: $10 entry fee (no added $$/no payout..closest guess to actual time ran will win an award) HORSE: Guess your time: $ HORSE: Guess your time: $ HORSE: Guess your time: $ ***No refunds without medical or vet slip. No refunds on day of race.*** I hereby affirm that I will follow all of the rules and regulations of said club at any arena. By entering myself and/or my horse(s) into any event(s) in this club in any arena. I do so at my own risk. I understand and agree that neither this club or any of its officers or members, nor the said arena, its owners, its operators, its agents, its employees, may be held liable in any way for any or all accident(s) or occurrences(s) that might happen during the arena events or in the parking area, warm up area, concessions area, viewing area, restroom/outhouse area, or driveways accessing any of the above that my result in injury, death or damages to myself and/or my family, heirs or assigns, or my property. By entering into such event(s), I hereby personally assume all risk in connection therein. I further release any/all of the aforementioned person(s) for any harm, injury or damage that may befall myself or my property in connection with the C.B.B.R.C. event(s) whether foreseen held from any claims by myself or my family, estate, heirs or assigns arising out of my participation in event(s) held at said arena or any other facility rented and/or used by the C.B.B.R.C. OFFICE CHARGE: 1 st horse $ 7.00 Each additional horse X $3.00 = $ LATE CHARGE: (after 11/07/15) $10.00 $ Time Onlys $4/ each or 3 for $10 (Time Onlys will be from 8am-10am) $ TOTAL $ In the event that I am responsible for the injury or harm to other persons or property due to my negligence, I agree to indemnify and hold harmless the C.B.B.R.C. and/or its officers and/or its members and said arena and/or its management from any claims that may result from my actions. I further stat that I am of lawful age and legally competent to sign this Affirmation, Release and Hold Harmless Agreement and that I understand the terms of said document and that I signed of my own free act. I have fully informed myself of the contents of this affirmation and release before I signed it by reading it. A parent or legal guardian must sign if the contestant/participant is under eighteen (18) years of age. Contestant Signature: Date: Parent or Legal Guardian Signature: Date:

4 2015 OVERALL STANDINGS Not Qualified = did not work a big Not Qualified = you need five (5) races Rider Horse 4/21 4/28 5/12 5/26 6/9 6/23 7/14 7/28 9/8 9/15 Total SENIOR 1st MaryLynn Duncan Cutacow Biankus nd Patti Walsh Bunny's Nip O Gin rd Claretta Walker Puff DNR th Leslie Quillan Queenie DNR DNR Laurie Combs Mudd DNR DNR DNR DNR Laurie Combs Kissy DNR 8 DNR DNR DNR DNR DNR DNR DNR DNR 8 Diane Miller Cheech 8 DNR DNR DNR DNR DNR DNR DNR DNR DNR 8 Anna Canet Barbie DNR DNR DNR DNR DNR 5 DNR DNR DNR DNR 5 Diane Miller Lucy DNR DNR NN NN DNR DNR DNR DNR DNR DNR 0 YOUTH 1st Natalie Yager Jesse DNR 90 2nd Stevie Slack Duke 8 7 DNR DNR DNR DNR 9 DNR Stevie Slack Peanut 9 8 DNR DNR DNR DNR DNR DNR DNR DNR 17 Aubree Skone Yellow 7 9 DNR DNR DNR DNR DNR DNR DNR DNR 16 Aubree Skone Lil Bit DNR DNR 9 DNR DNR DNR DNR DNR DNR DNR 9 JUNIOR 1st Hannah Beeman LG DNR nd Naomi Yager Mr. T rd Madison Diesel DNR DNR DNR 8 DNR Jordan Clark Jazzy DNR DNR DNR DNR DNR DNR DNR 22 Kelly Mills Dolly 7 7 DNR 5 DNR DNR DNR DNR DNR DNR 19 Ducky Workinger Kiowa 8 DNR DNR 6 DNR DNR DNR DNR DNR DNR 14 Macey Singer Sunday 6 DNR DNR DNR DNR DNR DNR DNR DNR DNR 6 Ducky Workinger Pepper DNR NN DNR DNR DNR DNR DNR DNR DNR DNR 0 PEE WEE 1st Makya Tussler Wylie nd Millie Baumberger Ceaser DNR DNR DNR rd Alyssa McMahan Cash In On Katy DNR DNR DNR 10 9 DNR Lila Rainey Harley DNR DNR DNR DNR 7 8 DNR 7 6 DNR 28 4th Brooklyn Clark Brownie DNR 6 9 DNR 4 DNR DNR 25 Kass Kimble Goose/Roockie DNR DNR DNR DNR 8 DNR 8 8 DNR DNR 24 Adryan McMahan Chelsea DNR DNR DNR 8 DNR DNR DNR Cort Kimble Goose DNR DNR 5 DNR DNR DNR Alyssa McMahan Chelsea DNR 8 8 DNR DNR DNR DNR DNR DNR DNR 16 Piper Cox Ava DNR 7 DNR DNR DNR DNR DNR DNR 7 14 Josie McMillan Chico/Blue DNR DNR 7 DNR DNR DNR DNR DNR Porter Cox Sugar DNR 0 0 DNR DNR DNR DNR DNR 8 8 LEADLINE 1st Jayden Chlarson LG DNR nd Clay Staples Toby 8 8 DNR 9 DNR 9 DNR rd Colt Staples Toby/Gunner 9 7 DNR 8 DNR 10 DNR Jody Garnder Kiowa/Pepper 7 5 DNR 7 DNR DNR DNR DNR DNR DNR 19 Adryan McMahan Roxy DNR 9 9 DNR DNR DNR DNR DNR DNR DNR 18 Harper Cox Paint DNR 6 DNR DNR DNR DNR DNR DNR 9 DNR 15 Ryanne Pyper Steve DNR DNR DNR DNR 9 DNR DNR DNR DNR DNR 9 John Rainey Pepper/Harley DNR DNR DNR DNR DNR NN NN DNR DNR DNR 0

5 2015 OVERALL STANDINGS cont. Not Qualified = did not work a big Not Qualified = you need five (5) races Rider Horse 4/21 4/28 5/12 5/26 6/9 6/23 7/14 7/28 9/8 9/15 Total OPEN 1st Cassie Herrera Skip 10 8 DNR nd Jamie Quillan Twitch rd Cheyanne Saltsman Copper 9 10 DNR DNR DNR th Jessica Staples Casina 8 9 DNR 6 DNR 5 DNR Jessi Chlarson Pistol DNR Julie Nelson Sadie DNR NT Jessica Low Faith DNR 8 DNR 4 DNR 39 Stacey Smith Shady 4 DNR DNR DNR Jill Connelly Stormy DNR DNR DNR 34 MaryLynn Duncan Cutacow Biankus NT NT DNR DNR DNR DNR 21 Courtney Boruff Strikes DNR 0 DNR DNR DNR DNR DNR 14 Jody Clark Toby DNR DNR DNR DNR DNR DNR 3 14 Diane Miller Lucy 7 DNR DNR DNR DNR DNR DNR DNR DNR DNR 7 Tami Deines Alky 1 DNR DNR DNR 3 3 DNR DNR DNR DNR 7 Javier Pope Chloe DNR 2 DNR DNR DNR DNR DNR DNR DNR DNR 2 Maria Pearson Smarty DNR DNR NM DNR DNR DNR DNR DNR DNR DNR 0 Dusti Kissler Clue DNR DNR NN DNR DNR DNR DNR DNR DNR DNR 0 Gemma Collins Maestro 0 0 DNR DNR DNR DNR DNR DNR DNR DNR 0 $ 1000 NOVICE 1st Jamie Quillan Twitch nd Julie Nelson Sadie DNR Keeva Kimble Rocket Man DNR DNR 10 DNR DNR DNR DNR DNR DNR DNR 10 Megan Walters Washington DNR 9 DNR DNR DNR DNR DNR DNR DNR DNR 9 $ 500 NOVICE 1st Allison Yager Maybelline nd Riley McMIllan JD DNR 9 DNR DNR DNR Rose Miller Bo DNR DNR NM DNR DNR DNR DNR DNR DNR 0 $ 250 NOVICE 1st Jesse Roman Razz nd Jessi Chlarson Pistol DNR Jade Thompson Pepsi 10 DNR DNR 10 DNR DNR 57 3rd Miranda Frank Stretch DNR DNR Jessica Low Faith 5 10 DNR 10 6 DNR 8 DNR 6 DNR 45 4th Cynder Baumberger Opie DNR DNR 6 DNR Stevie Slack Duke 8 5 DNR DNR DNR DNR DNR DNR DNR DNR 13 Javier Pope Chloe DNR 4 DNR DNR DNR DNR DNR DNR DNR DNR 4 Matea Frensdorf Apollo NN DNR DNR DNR DNR DNR DNR DNR DNR DNR 0 Diane Miller Cheech DNR DNR NN DNR DNR DNR DNR DNR DNR DNR 0 $ 100 NOVICE 1st Kati Leach Chewy 9 7 DNR nd Jessica Staples Widow DNR 10 DNR 10 DNR rd Cassie Herrera Bubba 6 5 DNR Jodi Fronsman Hoss DNR DNR th Cynder Baumberger Diesel DNR DNR 9 DNR DNR 6 40 Jordan Clark Jazzy DNR DNR DNR DNR DNR DNR 9 35 Courtney Boruff Strikes DNR 3 DNR DNR DNR DNR DNR 22 Dusti Kissler Scotch 3 DNR 7 DNR 3 4 DNR DNR DNR DNR 17 5th Jessica Krausse Gunner DNR 1 DNR 3 2 DNR 5 6 DNR DNR 17

6 Rider Horse 4/21 4/28 5/12 5/26 6/9 6/23 7/14 7/28 9/8 9/15 Total $100 NOVICE cont. Stevie Slack Peanut 8 6 DNR DNR DNR DNR DNR DNR DNR DNR 14 Matea Frensdorf Apollo 5 8 DNR DNR DNR DNR DNR DNR DNR DNR 13 Julie Pyper Bucket DNR DNR DNR 6 5 DNR DNR DNR DNR DNR 11 Jodi Fronsman Sis 7 4 DNR DNR DNR DNR DNR DNR DNR DNR 11 Maria Peason Calamity DNR DNR DNR 5 4 DNR DNR DNR DNR DNR 9 Diane Miller? DNR DNR 6 DNR DNR DNR DNR DNR DNR DNR 6 Anna Canet Barbie DNR DNR DNR DNR DNR 5 DNR DNR DNR DNR 5 Gemma Collins Maestro 2 0 DNR DNR DNR DNR DNR DNR DNR DNR 2 Rayni Koehn Hoss DNR 2 DNR DNR DNR DNR DNR DNR DNR DNR 2 Rose Miller? DNR DNR DNR DNR DNR DNR DNR DNR DNR DNR 0

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