CCR EXCA Cowboy Races 2011

RANCHO PACIFICA, TEMECULA

37055 De Portola Road • Temecula, CA 92592

April 23rd, July 2nd & 3rd, August 27th

Forms online: www.cacowboyracers.com

Order of GO determined by received mailed entry. First received last out.! Mail today.!

You MUST be CCR member to compete for any Prizes or Series End Awards. If you are not a CCR member you will only be eligible for the cash payback.

You MUST be an EXCA Member to compete at races. You can join both CCR & EXCA the day of the race.

Participant Name (First & Last)______________________________________________________

EXCA #___________

Address___________________________ City_______________ State______ Zip_______

Telephone #_________________

Parent or Legal Guardian Name (If under 18)_____________________________________

Rider’s Age (if under 18)_______

**A Youth Rider may ride up in higher Divisions.

Email:____________________________________

FEE SCHEDULE (***all fee’s include $10 EXCA fee – not included in 50% pay out percentage***)

Division – PRO (18 & Over) Use separate form for more horses

A: Horse #1: Name ______________________ $ 85 $__________

B: Horse #2: Name ______________________ $ 85 $__________

Division – NON PRO (18 & Over)

A: Horse #1: Name ______________________ $ 75 $__________

B: Horse #2: Name ______________________ $ 75 $__________

Division – YOUTH – (12-17) Can only ride a max of 2 horses

A: Horse #1: Name ______________________ $ 55 $__________

B: Horse #2: Name ______________________ $ 55 $__________

Division – YOUNG GUNS (7-11) Can only ride a max of 2 horses

A: Horse #1: Name ______________________ $ 35 $__________

B: Horse #2: Name ______________________ $ 35 $__________

Division – 55 & Over RIDE SMART

A: Horse #1: Name ______________________ $ 75 $__________

B: Horse #2: Name ______________________ $ 75 $__________

Division – NOVICE Non Extreme

A: Horse #1: Name ______________________ $ 75 $__________

B: Horse #2: Name ______________________ $ 75 $__________

Division – GREEN HORSE

A: Horse #1: Name ______________________ $50 $__________

B: Horse #2: Name ______________________ $50 $__________

Grounds Fee PER Horse ______# Horses x $ 15 $__________

EXCA Greenhorn $35 - 30 day membership available - CCR 3 race Membership Fee $30 if paid in full – see other forms

Total $ _________________

MAKE CHECK PAYABLE TO: CCR Mail To: P.O. Box 6270, Norco, Ca 92860

Phone: Lori Schiavone 951-334-5297 Email: schiavonelori@aol.com

Phone: Shannon Coutts 951-201-7315 Email: turn3ngogo@aol.com

Liability Release Waiver:

I understand that by signing this membership I have read, understand and agree to abide by the rules of CCR and agree to conduct myself in a sportsmanlike manner. If I cannot do so I may be asked to leave the Club or Race and forfeit any entry fees and winnings. I further agree to hold harmless CCR, all officers, members and volunteers, as well as all personnel in connection with the arena property hosting the cowboy race. I understand that cowboy racing is a dangerous sport and I assume all risk and responsibility associated with participating in this event. I assume full responsibility for any accident or injury to any persons, animals or property that I bring onto the grounds, and will in no way hold responsible CCR or officers, the arena owner, volunteers or operators liable for injuries arising from attending this function. CCR RESERVES THE RIGHT TO REFUSE ANY ENTRY! NO Refunds.

____________________________________ ___________________

Signature of Member                                         Date  

Printable pdf click below - Use Back arrow to return to web page.

CCR

PO Box 6270

Norco  CA  92860

Toll-free 888-653-9255

Fax 951-346-3540

cacowboyracers@aol.com