Clone of FWST 25 - Canada Cup Rodeo

Qualification obligatoire pour participer à Canada Cup | Qualification required to enter in the Canada Cup
Coggins Test: Valide 1 an | Coggins Test: Valid within 1 year
La visite au Vet-Check est obligatoire. Horaires disponibles sur le site du Festival. | The visit to the Vet-Check is mandatory. Times available on the Festival website.
Coût d'inscription: 300$; 15 000$ added; 20$ CES | Entry fee: $300; $15,000 added money; $20 CES
Le paiement sera prélevé lors de l'inscription. Si l'inscription n'est pas acceptée, les frais seront remboursés. | Payment will be taken upon inscription. If the entry is not accepted, fees will be refunded.
Les informations suivantes seront nécessaires pour remplir ce formulaire | The following information will be required to complete this form:
- Social Insurance Number or SSN
- Void Cheque for Canadians
- For American Contestants, IBAN (account number), BIC/SWIFT number, name of bank and address of your bank will be required
Les participants de moins de 18 ans devront être accompagnés d'un parent ou d'un tuteur légal pour compléter l'inscription. | Contestants under 18 years of age will require a parent or legal guardian to complete this registration.

IPRA Membership Number | Canadian Card enter format -> C0#### | World Card enter the 5 digits after the starting 0

IPRA Membership Number of Contestant

Contestant First Name

Prénom

Contestant Last Name

Nom de famille

Birth Date of Contestant

MonthDayYear

Is the contestant a minor under 18 years of age?

Name of Parent or Legal Guardian making the registration on behalf of the minor contestant | Nom du parent ou du tuteur légal effectuant l'inscription au nom du participant mineur

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Numéro de Téléphone (portable) | Cell Phone Number

Format: (000) 000-0000.

For any prize money, who will the cheque be made out to?

First NameLast Name

SIN Number of person receiving the prize money payment | Numéro d'assurance sociale de la personne qui reçoit le paiement

*Numéro d'assurance sociale requis par le Festival | Social Insurance Number / Social Security Number required by the St-Tite Western Festival

Chèque specimen | Upload an image of a void cheque for direct bank deposits:

Browse Files

Un chèque annulé permit à la Festival Western St-Tite de déposer directement tout prix en argent. | A void cheque allows for the St-Tite Western Festival to direct deposit any prize money and is required.

Name of Bank

Address of Bank

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

IBAN or Account Number

BIC / SWIFT code or ID Number

1st Go first preference

Performance preference is not guaranteed. Please check callbacks.

1st Go second preference

Performance preference is not guaranteed. Please check callbacks.

Please check the event(s) you qualified in and are entering

Nom enregistré du cheval de baril | Registered name of barrel horse

*Requis pour le vétérinaire de St-Tite | Required for the vet of St-Tite WF

Nom enregistré du cheval de terrassement du bouvillon | Registered name of steer wrestling horse

*Requis pour le vétérinaire de St-Tite | Required for the vet of St-Tite Western Festival

Nom de Hazer | Name of Hazer

Nom enregistré du cheval de hazer | Registered name of Hazer's Horse

*Requis pour le vétérinaire de St-Tite | Required for the vet of St-Tite Western Festival

Nom enregistré du cheval de prise du veau au lasso | Registered name of tie-down horse

*Requis pour le vétérinaire de St-Tite | Required for the vet of St-Tite Western Festival

Notes d'entrée | Entry Notes

*Partager un cheval; préférence de performances | Sharing a horse, performance preference, etc.

Vous devez lire la décharge et la renonciation suivantes (faites défiler vers le bas) avant de pouvoir cocher la case | You must read the following release and waiver (scroll to bottom) before you will be able to check the box.

Competitor's Signature OR Signature du parent ou du tuteur légal qui signe au nom du concurrent mineur | Signature of Parent or Legal Guardian, signing on behalf of the minor competitor

Total Entry Fee

Total Entry Fee (including credit card fees)

Total à facturer à la carte de crédit (en $ CDN). | Total to be charged to Credit Card (in CDN $).

CAD*Your credit card will be authorized for the above amount upon submitting. Once entry is confirmed, you credit card will be charged and will show up as IPRA Canada on your statement. This is the total cost of entry fees, CES/STK fees, and processing fees.

Credit Card

FWST 26 Canada Cup Rodeo Entry Form

Information

Banking Information

Waiver and Release

Total Fees Payable

Total à facturer à la carte de crédit (en $ CDN). | Total to be charged to Credit Card (in CDN $).

Credit Card

FWST 26 Canada Cup Rodeo Entry Form

Information

Banking Information

Waiver and Release

Total Fees Payable

Total à facturer à la carte de crédit (en $ CDN). | Total to be charged to Credit Card (in CDN $).*

Credit Card

Total à facturer à la carte de crédit (en $ CDN). | Total to be charged to Credit Card (in CDN $).