Memphis Entry Form June 2024

Entry Form - JUNE JAM - Lucky Dog Memphis, TN June 6-8, 2025

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Open Pre-entries may request to be drawn into any group of 50 - Requests MUST accompany original form. Entries accepted onsite until the FIRST horse runs each day. See website for rules and complete event details.

All Future Fortunes Horses must check the FUTURE FORTUNES box under the Saturday side-pot options AND ALSO submit an official FF online entry form through the FF Website to be eligible for the $50,000 FF Bonus Money on Saturday.

Entry ID

Rider Information

Name*

First Last

Please Check Appropriate Side-Pot Group:*

Based on your age as of December 6, 2024.

Youth (18 and under)

Adult (19 - 44)

Senior (45+)

I am not entering any age-based side pots.

CREDIT CARD BILLING Address*

Street Address Address Line 2 City State ZIP Code

Rider Address*

Street Address Address Line 2 City State ZIP Code

Please check if recent change of address

Contact Info

Email*

Phone*

Membership ID Numbers

WPRA #

BBR #

OPEN and SIDEPOT ENTRIES

Friday Open will start at 1:00 PM. Saturday Open will start after the 9:30 AM Peewee Race. Sunday Open will start after the 9:00 AM Pony Race. 2025 Membership required to enter Running with the Pack sidepots.

This field is hidden when viewing the form

Product Fields are Defined in this Section. This is not visible online.

Friday Horse 1

Price:

Friday Horse 2

Price:

Friday Horse 3

Price:

Friday Horse 4

Price:

Friday Horse 5

Price:

Saturday Horse 1

Price:

Saturday Horse 2

Price:

Saturday Horse 3

Price:

Saturday Horse 4

Price:

Saturday Horse 5

Price:

Sunday Horse 1

Price:

Sunday Horse 2

Price:

Sunday Horse 3

Price:

Sunday Horse 4

Price:

Sunday Horse 5

Price:

# of PRE-BED SHAVINGS

Price:

Running with the Pack

Price:

Entry Details

How many horses do you want to enter on this form?*

Horse 1 Entry Details

Horse #1 Registered Name

This field is hidden when viewing the form

Friday Group of 50 Request Horse 1

All Friday Entries Horse 1

$100 Fri Open $2,000 Added

$20 Fri Rider Age Side Pot

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

This field is hidden when viewing the form

Saturday Group of 50 Request Horse 1

All Saturday Entries Horse 1

$25 Sat Peewee Race

$60 Sat Open $2,500 Added

$20 Sat Rider Age Side Pot

$25 Sat Running With Pack $1,000 Add

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

Future Fortunes Eligible Horse

$400 Alpha Dog High Stakes Sidepot

This field is hidden when viewing the form

Sunday Group of 50 Request Horse 1

All Sunday Entries Horse 1

$25 Sun Pony Race

$60 Sun Open $2,500 Added

$20 Sun Rider Age Side Pot

$25 Sun Running With Pack $1,000 Add

$50 Sun Futurity Side Pot

$50 Sun Derby Side Pot

Horse 2 Entry Details

Horse #2 Registered Name

This field is hidden when viewing the form

Friday Group of 50 Request Horse 2

All Friday Entries Horse 2

$100 Fri Open $2,000 Added

$20 Fri Rider Age Side Pot

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

This field is hidden when viewing the form

Saturday Group of 50 Request Horse 2

All Saturday Entries Horse 2

$25 Sat Peewee Race

$60 Sat Open $2,500 Added

$20 Sat Rider Age Side Pot

$25 Sat Running With Pack $1,000 Add

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

Future Fortunes Eligible Horse

$400 Alpha Dog High Stakes Sidepot

This field is hidden when viewing the form

Sunday Group of 50 Request Horse 2

All Sunday Entries Horse 2

$25 Sun Pony Race

$60 Sun Open $2,500 Added

$20 Sun Rider Age Side Pot

$25 Sun Running With Pack $1,000 Add

$50 Sun Futurity Side Pot

$50 Sun Derby Side Pot

Horse 3 Entry Details

Horse #3 Registered Name

This field is hidden when viewing the form

Friday Group of 50 Request Horse 3

All Friday Entries Horse 3

$100 Fri Open $2,000 Added

$20 Fri Rider Age Side Pot

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

This field is hidden when viewing the form

Saturday Group of 50 Request Horse 3

All Saturday Entries Horse 3

$25 Sat Peewee Race

$60 Sat Open $2500 Added

$20 Sat Rider Age Side Pot

$25 Sat Running With Pack $1000 Add

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

Future Fortunes Eligible Horse

$400 Alpha Dog High Stakes Sidepot

This field is hidden when viewing the form

Sunday Group of 50 Request Horse 3

All Sunday Entries Horse 3

$25 Sun Pony Race

$60 Sun Open $2500 Added

$20 Sun Rider Age Side Pot

$25 Sun Running With Pack $1000 Add

$50 Sun Futurity Side Pot

$50 Sun Derby Side Pot

Horse 4 Entry Details

Horse #4 Registered Name

This field is hidden when viewing the form

Friday Group of 50 Request Horse 4

All Friday Entries Horse 4

$100 Fri Open $2,000 Added

$20 Fri Rider Age Side Pot

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

This field is hidden when viewing the form

Saturday Group of 50 Request Horse 4

All Saturday Entries Horse 4

$25 Sat Peewee Race

$60 Sat Open $2500 Added

$20 Sat Rider Age Side Pot

$25 Sat Running With Pack $1000 Add

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

Future Fortunes Eligible Horse

$400 Alpha Dog High Stakes Sidepot

This field is hidden when viewing the form

Sunday Group of 50 Request Horse 4

All Sunday Entries Horse 4

$25 Sun Pony Race

$60 Sun Open $2500 Added

$20 Sun Rider Age Side Pot

$25 Sun Running With Pack $1000 Add

$50 Sun Futurity Side Pot

$50 Sun Derby Side Pot

Horse 5 Entry Details

Horse #5 Registered Name

This field is hidden when viewing the form

Friday Group of 50 Request Horse 5

All Friday Entries Horse 5

$100 Fri Open $2,000 Added

$20 Fri Rider Age Side Pot

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

This field is hidden when viewing the form

Saturday Group of 50 Request Horse 5

All Saturday Entries Horse 5

$25 Sat Peewee Race

$60 Sat Open $2500 Added

$20 Sat Rider Age Side Pot

$25 Sat Running With Pack $1000 Add

$50 Sat Futurity Side Pot

$50 Sat Derby Side Pot

Future Fortunes Eligible Horse

$400 Alpha Dog High Stakes Sidepot

This field is hidden when viewing the form

Sunday Group of 50 Request Horse 5

All Sunday Entries Horse 5

$25 Sun Pony Race

$60 Sun Open $2500 Added

$20 Sun Rider Age Side Pot

$25 Sun Running With Pack $1000 Add

$50 Sun Futurity Side Pot

$50 Sun Derby Side Pot

Other Sanctioned Rodeo Info

Since you entered a Rodeo side pot, please provide the name of the rodeo association and your member number if appropriate.

RV Hookups and Stalls

*Pre-paid stalls will be unlocked with your name on them upon arrival based on nights paid for. *Be sure to pay for ALL nights needed!

Any special stall or hookup requests? Requests are granted in the order they are received.

VIP RV

Price:

Stalls Thursday Night

Price:

Stalls Friday & Saturday Nights

Price:

Weekend RV Hookup

Price:

#stalls Thursday night ($35)?

Please enter a number from 0 to 20.

#stalls Friday & Saturday night ($75)?

Please enter a number from 0 to 20.

VIP RV Hookups

LOWER LOT 211

LOWER LOT 212

LOWER LOT SPIDER BOX 1

LOWER LOT SPIDER BOX 2

LOWER LOT SPIDER BOX 3

LOWER LOT SPIDER BOX 4

Unless otherwise listed, all VIP hookups have both 30 or 50 AMP Service and Sewer. You are picking your exact space based on your selection here. Price is for the entire event. If you reserve a VIP Hookup here, don't double book by also reserving a regular hookup further down the form.

This field is hidden when viewing the form

LOWER LOT # Weekend Regular RV Hookups ($100) (Thurs - Sat)

Please enter a number from 0 to 3.

Standard, NOT VIP Hookups

Pre-bed shavings? $11 per bag

Please enter a number from 0 to 50.

Add a Running with the Pack membership ($50) (2025 memberships expires 11/1/25)

Online Entry Fee

Price:

Subtotal

$0.00

Credit card fees (5%)

$0.00

Coupon

Total

PLEASE NOTE: ONLINE CONVENIENCE FEES ARE NOT REFUNDABLE. Under Tennessee 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 Lucky Dog Productions, the Agricenter Showplace Arena and all sponsors involved. I also acknowledge that I have read, understand, and agree to abide by the rules of Lucky Dog Productions and any ground rules enforced for specific events. (See website for rules and complete event details.)

Liability Release*

I have read and agreed to the release of liability.

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Secure Credit Card

Please check your email for entry confirmation! If you do not receive a PDF confirmation on this screen after you submit or an email receipt, we may not have your entry! Please also review your confirmation for any errors or omissions.

/** * Gravity Wiz // Gravity Forms // Disable Submission when Pressing Enter * http://gravitywiz.com/disable-submission-when-pressing-enter-for-gravity-forms/ */ jQuery(document).on( 'keypress', '.gform_wrapper', function (e) { var code = e.keyCode || e.which; if ( code == 13 && ! jQuery( e.target ).is( 'textarea,input[type="submit"],input[type="button"]' ) ) { e.preventDefault(); return false; } } );