Note – you must send a copy of your horse’s registration papers (front and back) with this nomination form. If you are not the owner listed on the papers, the OWNER must sign. NO REFUNDS FOR ANY REASON. Horse substitutions ARE NOT allowed. Rider substitutions are allowed until May 3rd, with $40 sub fee. $9,000 Guaranteed Payout is based on 60 entries. $10 late fee for each payment not RECEIVED by payment schedule date. $40 late fee for onsite entries if slots are still open.

Make sure this form is filled out in full.

*By signing below, I am nominating the following horse to the NRF TOUR DERBY FINALS.

My horse qualified as a Top 30 NRF Tour Derby Horse.

OWNER
Owners’ Name Owner’s Social Security #
Address
City State Zip Phone
Email
*Signature Owner ______________________________________

RIDER
Rider’s Name Rider’s Social Security #
Address
City State Zip Phone
Email
*Signature Rider ______________________________________

NRF Tour Finals DBERY ENTRY (horse information)

Horse’s Reg Name Sex Color
Breed Registration # Year Foaled
Sire Dam Brand

Circle Current Nomination ck #_____

Stall Request: ________________________

Shirt Size:___________Blanket Size:__________

NRF Tour Finals Derby Payment Schedule:
February 1st, 2008 $100
March 1st, 2008 $50
April 1st, 2008 $50
(includes 1 stall and 1 bag of shavings)

MAIL PAYMENT TO: NRF Tour Finals - 960 Bunyan Ave - Balsam Lake, WI 54810

Or Pay via Credit Card (5% fee); Contact Jessica at (715) 857-6343 or Jessica@ubra.org

The event staff reserves the right to refuse or disqualify any entry due to unsportsmanship or unsafe conduct. No REFUNDS.

Show Schedule and Updates will be available on www.NRFTour.com

OWNER Owners’ Name Owner’s Social Security # Address City State Zip Phone Email *Signature Owner ______________________________________

RIDER Rider’s Name Rider’s Social Security # Address City State Zip Phone Email *Signature Rider ______________________________________

OWNER
Owners’ Name Owner’s Social Security #
Address
City State Zip Phone
Email
*Signature Owner ______________________________________

RIDER
Rider’s Name Rider’s Social Security #
Address
City State Zip Phone
Email
*Signature Rider ______________________________________