Certified Bred Race & ND/Stakes Race Entry Form
Please complete this form, print it out, and mail it along with your $50 membership dues and along with the necessary fees to:
North Dakota Thoroughbred Association
PO Box 2496
Bismarck, ND 58502
| Horse’s Name: | |
| Registration Number: | |
| Location where it was foaled: | |
| Stallion: | |
| Mare: | |
| Owner: | |
| Address: | |
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City: |
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| State: | ZIP: |
| Phone: | |
| Email address: | |
| Race interested in entering: | Futurity Derby |