PLEASE PRINT

Mule’s Name_________________________________________ 

Reg. No._________________________

Sex__________ Birth date_____________________

Sire______________________________________ 

Dam __________________________________

CalBred (yes or no)___________

(If yes) CalBred Reg. No.________________________________

Please make all checks payable to AMRA 2008 World Championship Futurity.

Check enclosed is the amount of $_____________________

(    ) I am a member of the AMRA.

(    ) Enclosed is my $25 membership fee.

Name of owner(s)_________________________________________

Address_________________________________________________

Telephone_____________________
 

I hereby agree to abide by the conditions and comply with the Rules and Regulations of the AMRA World Championship 2008 Futurity and further agree to indemnify, save and hold harmless the American Mule Racing Association from any liability that may arise from this entry.

Signature______________________________________

Owner_________________________________________