This is NOT an online form. You can fill in the blanks, but then you MUST print this out and send with your horses papers and other required documents to:

Pat Hutter
4701 Parsons Rd.
Springdale, AR 72764
(479) 756-9524
(479) 756-9528 fax
Date:        
Horse #1:        
Name of Horse Breed Registration # Color Sex
Month and Year foaled Sires Name Sires Registration Number Dams Name Dams Registration Number
Which Event:
Horse #2:        
Name of Horse Breed Registration # Color Sex
Month and Year foaled Sires Name Sires Registration Number Dams Name Dams Registration Number
Which Event:
Horse #3:        
Name of Horse Breed Registration # Color Sex
Month and Year foaled Sires Name Sires Registration Number Dams Name Dams Registration Number
Which Event:
Owner Owner Signature      
     
Address      
City State Zip:  
Phone:      
SS#:      
   
 
Rider Rider Signature      
     
Address      
City State Zip:  
Phone:      
SS#:      
         
Futurity $170 to nominate- Jan 15 $      
Derby $150 to nominate - Mar 15 $      
$85 BFA Membership $      
$100 BFA Family Membership $      
4D Sweepstakes - Aug 15- $200 $ Stalls included    
4D Sweepstakes - Sept 15- $150 $ Stalls included    
Juvenile Futurity- Aug 15- $200 $ Stalls included    
Juvenile Futurity - Sept 15- $150 $ Stalls included    
Youth- 18yo and under - Aug 15- $50 $ Stalls $50 or $20 grounds fee $  
Youth- 18yo and under - Sept 15- $50 $ Stalls $50 or $20 grounds fee $  
Total Amount Mailed $      
         
Birth certificate must accompany youth entry. All futurity and derby entries must be current BFA members. No exceptions.
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Nomination Fees

Futurity
$85 BFA Membership must accompany this payment (owner and rider)
$170 to nominate due Jan 15, 2005
$100 to sustain Due Feb 15, 2005
$100 to sustain Due Mar 15, 2005
$100 to sustain Due Apr 15, 2005
$100 to sustain Due May 15, 2005
$100 to sustain Due June 15, 2005
(includes office and stall fees)

Derby
$85 BFA Membership must accompany this payment (owner and rider)
$150 to nominate Due Mar 15, 2005
$125 to sustain Due Apr 15, 2005
$120 to sustain Due May 15, 2005
$100 to sustain Due June 15, 2005
(includes office and stall fees)