WASHINGTON BARREL RACING ASSOCIATION
Approval Form
Name and/or location of race: ___________________________________________
Date(s) of race: __________________________________
Starting time(s): _________________________________
Race Information:
Open: _____ Single/Double Header: __________
Novice: _____ Single/Double Header: __________
Poles: _____ Single/Double Header: __________
Time Only’s: _____ Fee: ________________ Time: ___________
Any Added Money for classes: _____
If you answered yes to having added money, please list how much next to each class below. Office charges are not applicable w/fees listed below.
$______Open ($35 minimum entry fee w/a purse of $100 - $150 per go)
$______Jackpot ($25 entry fee)
$______Youth (age 13 – 18, $15 entry fee)
$______2000 novice ($25 entry fee)
$______Junior (age 12 & under, $10 entry fee)
$______1000 novice ($20 entry fee) $______500 novice ($20 entry fee)
$______250 novice ($15 entry fee) $______50 novice ($15 entry fee)
$______Open Poles ($15 entry fee)
Entry Information:
Entry Fees: __________________ Office Charge: __________
Entry Date: __________________ Entry Time: __________
Entry Info:
Name: ___________________ Phone Number: __________
Call Back Date: ____________ Call Back Time: __________
Comments: ___________________________________________________________________
___________________________________________________________________
* Please review the information that you listed above before sending the approval. Once the form is received and approved, there will be minimal changes allowed. Please keep a copy for your records and return the original to the WBRA President:
Karla Gust
50 N Thiel Road
Ritzville, WA 99169
Director Use:
WBRA President signature: _____________________ Date Approved: _________