SASKATCHEWAN BARREL RACING ASSOC.
**SHF Day Insurance Form**
There is a $5.00 Charge for all NON MEMBERS to compete at
SBRA jackpots.
Date:		Arena:	Dist:
	FIRST/LAST NAME	FULL ADDRESS	PHONE #
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
23
25
This information MUST be faxed into the Saskatchewan Horse Federation.
**Three dollars PER RIDER MUST be sent to the SHF inorder for there to be coverge.**
SASKATCHEWAN HORE FEDERATION		Saskatchewan Barrel Racing Assoc.	FYI:
2205 Victoria Ave.		Box 574	$3.00 is for
Regina, SK		Broadview,SK	insurance.
S4P 0S4		S0G 0K0
Phone:  306-780-9244			$2.00 is going
FAX:  306-525-4009		Mail $2.00 PER RIDER to the above	to the SBRA,
MAIL $3.00 PER RIDER to the above		address, along with a copy of this form.	which will go
address.  Be sure to fax this form			towards the
into SHF immediately after jackpot.			finals.