Team Roping Example Team Roping Demonstration Form Thank you to our sponsors XXX, XXX, XXX. Event date, address, time, description etc. usually goes here. Open to start at 10:00 AM. Followed by the .... "*" indicates required fields Only accepting Pre-entries, no walk ups. Pre-Entries Close Sunday XXX, Xth at 8PM. a eye barrier. 5% credit card processing fee is non- refundable.Entry IDRoper InformationName* First Last Email* Phone*Roper Physical 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 If you leave prior to event payout, we will mail you your winnings, but we will not ship awards, they must be picked up onsite. Credit Card Billing Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country HiddenProduct Fields are Defined in this Section. This is not visible online.13.5 Price: $150/Roper. Enter 3X. Will not start before 10 AM.14.5 Price: $150/Roper. Enter 3X. 15.5 Price: $150/Roper. Enter 3X. ENTRIESWhich ropings do you want to enter? 15.5, Enter up to 3X, $150 per entry 14.5, Enter up to 3X, $150 per entry 13.5, Enter up to 3X, $150 per entry 15.5 / $150 per run / enter up to 3X15.5 Run #1, I am theNo EntryHeaderHeeler15.5 Run #1 Roping With First Last 15.5 Run #2, I am theNo EntryHeaderHeeler15.5 Run #2 Roping With First Last 15.5 Run #3, I am theNo EntryHeaderHeeler15.5 Run #3 Roping With First Last 14.5 / $150 per run / enter up to 3X14.5 Run #1, I am theNo EntryHeaderHeeler14.5 Run #1 Roping With First Last 14.5 Run #2, I am theNo EntryHeaderHeeler14.5 Run #2 Roping With First Last 14.5 Run #3, I am theNo EntryHeaderHeeler14.5 Run #3 Roping With First Last 13.5 / $150 per run / enter up to 3X13.5 Run #1, I am theNo EntryHeaderHeeler13.5 Run #1 Roping With First Last 13.5 Run #2, I am theNo EntryHeaderHeeler13.5 Run #2 Roping With First Last 13.5 Run #3, I am theNo EntryHeaderHeeler13.5 Run #3 Roping With First Last Stalls and RV HookupsStalls Price: RV Spots Price: How many stalls do you need? ($75)Please enter a number from 0 to 10.How many RV hookups do you need? ($75)Please enter a number from 0 to 10.Any special requests? Notes to the producer?Office Fee Price: Subtotal $0.00 Pay Onsite TotalCredit card fees (5%) $0.00 Coupon Total Select Payment Method* Pay Onsite (Cash Only) Pay Now via Credit Card PLEASE NOTE: CREDIT CARD FEES ARE NOT REFUNDABLE. Under state 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 the producer, the staff, the arena, and all sponsors involved. I also acknowledge that I have read, understand, and agree to abide by any ground rules enforced for specific events. Liability Release* I have read and agreed to the release of liability. Credit CardPlease check if you have activated a Stripe feed for your form. Please check your email for entry confirmation! If you do not receive an email receipt, we may not have your entry! Please also review your confirmation for any errors or omissions. If you feel there is an error, or you didn't receive your email confirmation within 24 hrs, please reach out to SaraBeth, 901-603-0321. Thank you for your entry!PhoneThis field is for validation purposes and should be left unchanged.