2010 "Run for the Diamonds" Entry Form:

            Warm-Up Show (Sunday):                                                                                 "Run for the Diamonds" (Monday):

Number of Entries:        _______     $25.00 Each                                  Number of Entries:       _______  $ 50.00 Each (received by 8/25/10)

Horse Names:    ________________________                                     Horse Names:   ___________________________

                          ________________________                                                             ___________________________

                          ________________________                                                             ___________________________

** HORSE NAMES ARE REQUIRED OR ENTRY FORM WILL BE RETURNED.   NO EXCEPTION!! **

                                                                         Sunday Total Fees:     $______________

                                                                         Monday Total Fees:    $______________

 WPRA#____________________         Sign-Up Fee:                  $           15.00        

 BBR# ______________________        Stall Fees:                        $______________ ($20 per day)

                                                                         Grand Total:                 $______________

Contestant Name:    ________________________                 Address:   ___________________________________

City:    _________________________    State:   ___________      Zip:  _____________  Phone:   _______________

Contestant Signature (Parent or Gaurdian if under 18 y/o):   ______________________________________________

                                                                                            Youth Entry Form:

Contestant Name:_________________________             WPRA Jr Member Number (not required to compete):________

Horse Names:_____________________________            Number of Entries @ $25 each: ________

                         _____________________________            Sign Up Fee:                                 $   5.00

                        _____________________________            Total:                                     $ ___________

Mail entry form to:       Diamond M Ranch      4900 Cypress St  Suite 15        West Monroe, LA           71291

WARNING: Under Louisiana Law, a farm animal activity sponsor or farm animal activity

professional is not liable for an injury to or the death of a participant in a farm animal activity

resulting from the inherent risks of the farm animal activity, Pursuant LA R.S. 9:2795.1.