APPLICATION FOR THOROUGHBRED FOAL …

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_____. (No PO Box). Phone_____ Fax _____ E-Mail _____. COVERING SIRE NAME OF MARE MARE'S SIRE OF MARE. YEAR OF. BIRTH. Page _____ of _____. COVERING SIRE NAME OF MARE MARE'S SIRE OF MARE. YEAR OF.

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

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