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Point-to-Point: Junior Entry Payment Form
Step
1
of
2
50%
Please complete the following form. You can enter and pay for up to 5 horses at one time. Entries will not be successfully submitted until payment is received.Payment with a PayPal account, a credit card, or a bank balance must be made through PayPal, our safe and secure payment processor at the completion of the entry process.
TRAINER INFO
Trainer's Name
*
First
Last
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mobile Phone
*
Email
*
Pony/Horse 1 INFO
Horse/Pony 1's Name
*
Junior 1 Which Race?
*
Race 1.0 Race Small Pony Flat race
Race 1.2 Medium Pony Flat Race
Race 1.3 Large Ponies - Large Pony Flat Race
Race 2.0 Austin Tamberino Memorial - Jr Field Masters Chase - Small Ponies
Race 2.2 Austin Tamberino Memorial - Jr Field Masters Chase - Medium Ponies
Race 2.3 Austin Tamberino Memorial - Jr Field Masters Chase - Large Ponies
Race 2.4 Austin Tamberino Memorial - JFMC - TB Horses
Race 2.5 Austin Tamberino Memorial - JFMC - Non-TB-Horses
Jockey 1's Name
*
First
Last
Jockey 1's Mobile Phone
*
Jockey 1's Email
*
Do you want to register a 2nd horse or go to checkout?
*
Register a 2nd horse
Go to checkout
Pony/Horse 2 INFO
Pony/Horse 2's Name
*
Pony/Horse 2 Which Race?
*
Race 1.0 Race Small Pony Flat race
Race 1.2 Medium Pony Flat Race
Race 1.3 Large Ponies - Large Pony Flat Race
Race 2.0 Austin Tamberino Memorial - Jr Field Masters Chase - Small Ponies
Race 2.2 Austin Tamberino Memorial - Jr Field Masters Chase - Medium Ponies
Race 2.3 Austin Tamberino Memorial - Jr Field Masters Chase - Large Ponies
Race 2.4 Austin Tamberino Memorial - JFMC - TB Horses
Race 2.5 Austin Tamberino Memorial - JFMC - Non-TB-Horses
Jockey 2's Name
*
First
Last
Jockey 2's Mobile Phone
*
Jockey 2's Email
*
Do you want to register a 3rd horse or go to checkout?
*
Register a 3rd horse
Go to checkout
Pony/Horse 3 INFO
Pony/Horse 3's Name
*
Pony/Horse 3 Which Race?
*
Race 1.0 Race Small Pony Flat race
Race 1.2 Medium Pony Flat Race
Race 1.3 Large Ponies - Large Pony Flat Race
Race 2.0 Austin Tamberino Memorial - Jr Field Masters Chase - Small Ponies
Race 2.2 Austin Tamberino Jr. Memorial - Jr Field Masters Chase - Medium Ponies
Race 2.3 Austin Tamberino Memorial - Jr Field Masters Chase - Large Ponies
Race 2.4 Austin Tamberino Memorial - JFMC - TB Horses
Race 2.5 Austin Tamberino Memorial - JFMC - Non-TB-Horses
Jockey 3's Name
*
First
Last
Jockey 3's Mobile Phone
*
Jockey 3's Email
*
Do you want to register 4th horse or go to checkout?
*
Register a 4th horse
Go to checkout
Pony/Horse 4 INFO
Pony/Horse 4's Name
*
Pony/Horse 4 Which Race?
*
Race 1.0 Race Small Pony Flat race
Race 1.2 Medium Pony Flat Race
Race 1.3 Large Ponies - Large Pony Flat Race
Race 2.0 Austin Tamberino Memorial - Jr Field Masters Chase - Small Ponies
Race 2.2 Austin Tamberino Memorial - Jr Field Masters Chase - Medium Ponies
Race 2.3 Austin Tamberino Memorial - Jr Field Masters Chase - Large Ponies
Race 2.4 Austin Tamberino Memorial - JFMC - TB Horses
Race 2.5 Austin Tamberino Memorial - JFMC - Non-TB-Horses
Jockey 4's Name
*
First
Last
Jockey 4's Mobile Phone
*
Jockey 4's Email
*
Do you want to register a 5th horse or go to checkout?
*
Register a 5th horse
Go to checkout
Pony/Horse 5 INFO
Pony/Horse 5's Name
*
Pony/Horse 5 Which Race?
*
Race 1.0 Race Small Pony Flat race
Race 1.2 Medium Pony Flat Race
Race 1.3 Large Ponies - Large Pony Flat Race
Race 2.0 Austin Tamberino Memorial - Jr Field Masters Chase - Small Ponies
Race 2.2 Austin Tamberino Memorial - Jr Field Masters Chase - Medium Ponies
Race 2.3 Austin Tamberino Memorial - Jr Field Masters Chase - Large Ponies
Race 2.4 Austin Tamberino Memorial - JFMC - TB Horses
Race 2.5 Austin Tamberino Memorial - JFMC - Non-TB-Horses
Jockey 5's Name
*
First
Last
Jockey 5's Mobile Phone
*
Jockey 5's Email
*
Check Out - Submit Entries and Payment
After you identify the number of horses you are entering in the quantity field below, your total charge will be calculated. Upon submitting your form, you will be redirected to PayPal where you can pay for your entries by using a PayPal account, or a credit card.
Number of Pony/Horse entered - Thank you to our Sponsors!
Quantity
*
Price:
$25.00
Quantity
Total
$0.00
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