Memphis Entry Form June 2026 "*" indicates required fields URLThis 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. Open 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 IDRider InformationName* First Last Please Check Appropriate Side-Pot Group:*Based on your age as of December 5, 2025. 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 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 Rider Address* Street Address Address Line 2 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 Please check if recent change of address Contact InfoEmail* Phone*Membership ID NumbersWPRA #BBR #OPEN and SIDEPOT ENTRIESFriday 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 Peewee Race. 2026 Membership required to enter Running with the Pack sidepots. This field is hidden when viewing the formProduct 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 DetailsHow many horses do you want to enter on this form?*12345NoneHorse 1 Entry DetailsHorse #1 Registered NameFriday Group of 50 Request Horse 1No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401+All Friday Entries Horse 1 $100 Fri Open $2,000 Added $20 Fri Rider Age Side Pot $50 Fri Futurity Side Pot $50 Fri Derby Side Pot Saturday Group of 50 Request Horse 1No PreferencePeeWee Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Saturday Entries Horse 1 $25 Sat Peewee Race $70 Sat Open $2,500 Added Future Fortunes Eligible Horse $20 Sat Rider Age Sidepot $30 Sat Running With Pack $1,000 Add $50 Sat Futurity Side Pot $50 Sat Derby Side Pot $400 Alpha Dog High Stakes Sidepot Sunday Group of 50 Request Horse 1No PreferencePony Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 1 $25 Sun Peewee Race $70 Sun Open $2,500 Added $20 Sun Rider Age Side Pot $30 Sun Running With Pack $1,000 Add $50 Sun Futurity Side Pot $50 Sun Derby Side Pot Horse 2 Entry DetailsHorse #2 Registered NameFriday Group of 50 Request Horse 2No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401+All Friday Entries Horse 2 $100 Fri Open $2,000 Added $20 Fri Rider Age Side Pot $50 Fri Futurity Side Pot $50 Fri Derby Side Pot Saturday Group of 50 Request Horse 2No PreferencePeewee Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Saturday Entries Horse 2 $25 Sat Peewee Race $70 Sat Open $2,500 Added Future Fortunes Eligible Horse $20 Sat Rider Age Sidepot $30 Sat Running With Pack $1,000 Add $50 Sat Futurity Side Pot $50 Sat Derby Side Pot $400 Alpha Dog High Stakes Sidepot Sunday Group of 50 Request Horse 2No PreferencePony Carry Over1 to 5051 to 100101 to 150151 to 200201 t0 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 2 $25 Sun Peewee Race $70 Sun Open $2,500 Added $20 Sun Rider Age Side Pot $30 Sun Running With Pack $1,000 Add $50 Sun Futurity Side Pot $50 Sun Derby Side Pot Horse 3 Entry DetailsHorse #3 Registered NameFriday Group of 50 Request Horse 3No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401+All Friday Entries Horse 3 $100 Fri Open $2,000 Added $20 Fri Rider Age Side Pot $50 Fri Futurity Side Pot $50 Fri Derby Side Pot Saturday Group of 50 Request Horse 3No PreferencePeewee Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Saturday Entries Horse 3 $25 Sat Peewee Race $70 Sat Open $2500 Added Future Fortunes Eligible Horse $20 Sat Rider Age Sidepot $30 Sat Running With Pack $1000 Add $50 Sat Futurity Side Pot $50 Sat Derby Side Pot $400 Alpha Dog High Stakes Sidepot Sunday Group of 50 Request Horse 3No PreferencePony Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 3 $25 Sun Peewee Race $70 Sun Open $2500 Added $20 Sun Rider Age Side Pot $30 Sun Running With Pack $1000 Add $50 Sun Futurity Side Pot $50 Sun Derby Side Pot Horse 4 Entry DetailsHorse #4 Registered NameFriday Group of 50 Request Horse 4No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401+All Friday Entries Horse 4 $100 Fri Open $2,000 Added $20 Fri Rider Age Side Pot $50 Fri Futurity Side Pot $50 Fri Derby Side Pot Saturday Group of 50 Request Horse 4No PreferencePeewee Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Saturday Entries Horse 4 $25 Sat Peewee Race $70 Sat Open $2500 Added Future Fortunes Eligible Horse $20 Sat Rider Age Side Pot $30 Sat Running With Pack $1000 Add $50 Sat Futurity Side Pot $50 Sat Derby Side Pot $400 Alpha Dog High Stakes Sidepot Sunday Group of 50 Request Horse 4No PreferencePony Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 4 $25 Sun Peewee Race $70 Sun Open $2500 Added $20 Sun Rider Age Side Pot $30 Sun Running With Pack $1000 Add $50 Sun Futurity Side Pot $50 Sun Derby Side Pot Horse 5 Entry DetailsHorse #5 Registered NameFriday Group of 50 Request Horse 5No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401+All Friday Entries Horse 5 $100 Fri Open $2,000 Added $20 Fri Rider Age Side Pot $50 Fri Futurity Side Pot $50 Fri Derby Side Pot Saturday Group of 50 Request Horse 5No PreferencePeewee Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Saturday Entries Horse 5 $25 Sat Peewee Race $70 Sat Open $2500 Added Future Fortunes Eligible Horse $20 Sat Rider Age Side Pot $30 Sat Running With Pack $1000 Add $50 Sat Futurity Side Pot $50 Sat Derby Side Pot $400 Alpha Dog High Stakes Sidepot Sunday Group of 50 Request Horse 5No PreferencePony Carry Over1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 5 $25 Sun Peewee Race $70 Sun Open $2500 Added $20 Sun Rider Age Side Pot $30 Sun Running With Pack $1000 Add $50 Sun Futurity Side Pot $50 Sun Derby Side Pot Other Sanctioned Rodeo InfoSince 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 86 87 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105* 30 amp, No Sewer 107 108 110 111 112 113 114* 30 amp, No Sewer 115* 30 amp, No Sewer 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.# Weekend Regular RV Hookups ($100) (Thurs - Sat)Please enter a number from 0 to 3.Standard, NOT VIP Hookups - 30 AMP power supply and water only Pre-bed shavings? $11 per bagPlease enter a number from 0 to 50.Add a Running with the Pack membership ($50) (2026 memberships expires 11/1/26)No thanks.Yes, please!Online Entry Fee Price: Lucky Dog One Time Per Rider Processing Fee Price: One time rider processing fee of $15 is discounted to $5 for Pack members during the 24 hour early entry period for Pack members only. If adding additional transactions for the same rider, text 870-930-7717 with rider's name to receive coupon code to remove the processing fee before submitting. 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 ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20262027202820292030203120322033203420352036203720382039204020412042204320442045 Security Code Cardholder Name Secure Credit CardPlease 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; } } );
