APPLICATION FOR THOROUGHBRED FOAL …

← Back to document page

KHRC Form 70-1 (6/15). Kentucky THOROUGHBRED Breeders' Incentive Fund APPLICATION for Mare Registration Please print clearly and submit completed form by August 15th by mail, fax, or email to: KENTUCKY HORSE RACING COMMISSION. 4063 Iron Works Pkwy, Bldg. B | Lexington, KY 40511. Ph: 859-246-2847 |Fax: 859-246-2887 | Email: | breeder INFORMATION: (The intended breeder of record as it will be reported to The Jockey Club). Breeder_________________________________ ________________________________________ _____________. Street ________________________________________ _________ City __________________ State ______ Zip_______. Phone__________________________ Fax __________________________ E-Mail _______________________________. BOARDING FARM INFORMATION: (Mare must maintain residence in Kentucky to qualify). Farm____________________________________ _ Farm Owner/Manager___________________________ _____. Street _______________________________________ City ____________________________ State ____ Zip_________.

COVERING SIRE NAME OF MARE MARE’S YEAR OF BIRTH SIRE OF MARE AFFIDAVIT BY BREEDER OR BREEDER’S AUTHORIZED AGENT. I hereby certify that the information contained in this application is accurate and complete, and I

  Applications, Breeder, Application for, Breeder s