Microsoft Word - 4 Wheeler Rodeo Entry Form - Andy Hullender

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Entry Form 2022 New River Valley Fair 4-Wheeler Rodeo Thursday, July 28, 2022 7:00 pm New River Valley Fairgrounds, 5581 Fairgrounds Circle, Dublin, VA Entry Fee $25 per rider per class == 100% payback Class 1: Youth Open ATV 16 & under $____ Class 2: 0-300 4 Stroke $____ Class 3: 0-400 4 Stroke $____ Class 4: Open ATV $20 $____ Class 5: Open Dirt Bike $____ Total amount due $______ All classes are limited to 20 entries per class – first come, first served. To ensure entry in class, pre-entries may be emailed to nrvfair@verizon.net and payment will be made on site at time of event. Name ____________________________ (please print) Address ____________________________________________ Phone _________________ Email ______________________ Youth? _______ (14 & under as of day of event) (Check) Parent/Guardian signature for youth____________________