MEGA ENTRY FORMS Mail in form here or enter online below: 2023-MEGA-ALTERNATE-ENTRY-1 MEGA Entry Form 2023 "*" indicates required fields Unique IDDate of Birth* MM slash DD slash YYYY Required to calculate sidepots. Sidepot* Youth 19 and Under Adult 20-44 Senior 45 and Older Not participating in Sidepots Please select appropriate SidepotName HiddenEntry Date MM slash DD slash YYYY Email* PhoneSSN* Credit Card Billing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Rider Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Entry OptionsHow many horses will you be entering?* One Two Three Four None (stall reservation only) Horse #1 Name MEGA Fees Horse 1 Check box for Triple Crown $200 Entry Fee $50 Sidepot $200 Futurity SIdepot $50 Average Sidepot DO NOT ENTER THE SIDEPOT WITHOUT THE $200 ENTRY FEE. YOU MUST ENTER THE RACE TO ENTER A SIDEPOT. Horse #2 Name MEGA Fees Horse 2 Check box for Triple Crown $200 Entry Fee $50 Sidepot $200 Futurity SIdepot $50 Average Sidepot DO NOT ENTER THE SIDEPOT WITHOUT THE $200 ENTRY FEE. YOU MUST ENTER THE RACE TO ENTER A SIDEPOT.Horse #3 Name MEGA Fees Horse 3 Check box for Triple Crown $200 Entry Fee $50 Sidepot $200 Futurity SIdepot $50 Average Sidepot DO NOT ENTER THE SIDEPOT WITHOUT THE $200 ENTRY FEE. YOU MUST ENTER THE RACE TO ENTER A SIDEPOT.Horse #4 Name MEGA Fees Horse 4 Check box for Triple Crown $200 Entry Fee $50 Sidepot $200 Futurity SIdepot $50 Average Sidepot DO NOT ENTER THE SIDEPOT WITHOUT THE $200 ENTRY FEE. YOU MUST ENTER THE RACE TO ENTER A SIDEPOT. NOTE: You must enter the OPEN RACE in order to enter a SIDE POT. Please correct your entry if you have entered a SIDE POT without entering the corresponding OPEN RACE.Stall Reservations ($115 ea)How many stalls? Comes with 2 bags of shavings. Quantity Price: $ 115.00 Quantity Processing Fee ($25 per horse) Price: Online Entry Fee plus MEGA Text & AlertsDon't miss important text alerts from the LanBar Production Team! Price: Late Fees ($50 per horse entered after pre-entry cutoff) Price: Subtotal $ 0.00 Coupon Credit Card Fees $ 0.00 Total REQUIRED LIABILITY RELEASE* Yes, I agree Under MIssissippi law, an equine activity sponsor is not liable for an injury to, or the death of, a participant in equine activities resulting from the inherent risk of equine activities. I understand that every effort will be made to ensure the safety of each contestant and his/her horse(s). I hereby release LanBar Barrel Racing, Kirk-Fordice Equestrian and all sponsors involved. I also acknowledge that I have read, understand, and agree to abide by the rules ofLan Bar Barrel Racing and any ground rules enforced for specific events. (See website and/or registration table for rules and complete event details.) I UNDERSTAND THAT CREDIT CARD FEES ARE NON-REFUNDABLE. Credit CardCredit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Comments to ProducerCheck your email to confirm that your entry was accepted!Product FieldsEntry Horse 1 Price: Entry Horse 2 Price: Entry Horse 3 Price: Entry Horse 4 Price: CAPTCHA