Test one time fee charge Entry Form - 1 April xx-xx, 2026 Starkville Lucky Dog Updated "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.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 | DRESS CODE ENFORCED | See website for rules and complete event details. Entry IDRider InformationName* 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 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 3:00 PM. Saturday Open will start after the 9:30 AM Peewee Race & Dog Races. Sunday Open will start after the 9:00 AM Pony Race. See rules for Futurity and Derby side pot eligibility. 2025 Membership required to enter Runnin' with the Pack side pots. 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+All Friday Entries Horse 1 $100 Fri Open $2000 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 Carryover1 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 $60 Sat Open $2000 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 Sunday Group of 50 Request Horse 1No PreferencePony Carryover1 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 Pony Race $60 Sun Open $2000 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 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+All Friday Entries Horse 2 $100 Fri Open $2000 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 Carryover1 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 $60 Sat Open $2000 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 Sunday Group of 50 Request Horse 2No PreferencePony Carryover1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301 to 350351 to 400401 to 450451 to 500500+All Sunday Entries Horse 2 $25 Sun Pony Race $60 Sun Open $2000 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 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+All Friday Entries Horse 3 $100 Fri Open $2000 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 Carryover1 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 $60 Sat Open $2000 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 Sunday Group of 50 Request Horse 3No PreferencePony Carryover1 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 Pony Race $100 added $60 Sun Open $2000 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 DetailsHorse #4 Registered NameFriday Group of 50 Request Horse 4No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301+All Friday Entries Horse 4 $100 Fri Open $2000 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 Carryover1 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 $60 Sat Open $2000 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 Sunday Group of 50 Request Horse 4No PreferencePony Carryover1 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 Pony Race $60 Sun Open $2000 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 DetailsHorse #5 Registered NameFriday Group of 50 Request Horse 5No Preference1 to 5051 to 100101 to 150151 to 200201 to 250251 to 300301+All Friday Entries Horse 5 $100 Fri Open $2000 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 Carryover1 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 $60 Sat Open $2000 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 Sunday Group of 50 Request Horse 5No PreferencePony Carryover1 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 Pony Race $60 Sun Open $2000 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 InfoSince you entered a Rodeo side pot, please provide the name of the rodeo association and your member number if appropriate.This field is hidden when viewing the formRV Hookups and StallsSTALLS ARE SOLD OUT - ANY REMAING PURCHASES WILL BE PLACED ON THE WAITING LIST AND REFUNDED IF NOT ACCOMODATED. These full refunds will apply to Stalls/Hookups ONLY. Draw out rules will still aplly to ALL ENTRIES! *Stalls will be unlocked daily between 7:00-8:00 am on the morning of the first night they are paid for. If you will be arriving late at night, you will still need to pay for that night’s stall rental. Any special stall or hookup requests?Stalls Thursday Night Price: Stalls Fri and Sat Night Price: WAITING LIST: Stalls Fri and Sat Night Price: Weekend RV Hookup Price: WAITING LIST: Weekend RV Hookup Price: Thursday night stalls ($30)?Please enter a number from 0 to 20.STALLS (Friday + Saturday night) ($70)?Please enter a number from 0 to 20.# Weekend RV Hookups ($80)Please enter a number from 0 to 3.WAITING LIST: # Weekend RV Hookups ($80)Please enter a number from 0 to 3.WAITING LIST: STALLS (Friday + Saturday night) ($70)?Please enter a number from 0 to 20.How many bags of shavings? $9 eaPlease enter a number from 0 to 50.Pre-bedding $9 per bag.Add a Running with the Pack membership ($50)No thanks.Yes, please!Processing Fee Price: Subtotal $0.00 Credit card fees (5%) $0.00 Coupon Total PLEASE NOTE: CREDIT CARD FEES ARE NOT REFUNDABLE. Under Mississippi 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 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 Please DOWNLOAD YOUR PDF CONFIRMATION after you Submit and also check your email for entry confirmation. If you do not receive a confirmation, we may not have your entry!
