Free QH foal app blank year 8.5 color.pmd - Indiana

Quarter Horse
State Form 49939 (R6/2-08)

For Office Use Only:

Foal Registration Application for Foals Of
IHRC Reg. No.

Type or print the following information. Incomplete or illegible applications will be returned!
Name of Foal Foaling date Sire Dam's Sire Owner(s) of Foal Address of Owner(s) City Telephone Number(s) Home Fax Breeder of Foal
(Owner at Conception)

(If unnamed, so state) Sex: Colt / Filly Dam Color

State

Zip Business

E-Mail Address

Breeder's Address City Breeder's Telephone Farm Address City State Zip State Name of Farm
(Where Foal was dropped)

Zip

Continued

It is understood that it is the sole responsiblity of the applicant to designate a name, address and a social security or federal I.D. number to be used when breeder awards are issued and that only one social security or federal I.D. number will be used. It is further understood and agreed that it is the designee's sole responsibility to distribute the breeder award to other owners or partners. Name of designated recipient of breeder award check Address where breeder award check should be mailed City Social Security or Federal I.D. number
(Only one SS# or Federal I.D. # can be used by IHRC)

State

Zip

I, represent that all information above is true and accurate and agree that registration of said foal may be revoked or denied for misstatement or omission in the foregoing application. Owner Signature Owner Printed Name Date

This completed application must be on file at the office of the Indiana Horse Racing Commission (IHRC) before any awards can be made from the Breed Development Fund. Mail or fax signed application to: Indiana Horse Racing Commission ISTA Center - Suite 530 150 West Market Street Indianapolis, IN 46204 Phone: (317) 233-0187 Fax: (317) 233-4470 Attention: Jacki Brown Quarter Horse Breed Development Director www.in.gov/hrc [email protected]

INCOMPLETE APPLICATIONS WILL BE RETURNED!

Continued

No Registration Fee Required

Failure to register by this date will result in the following penalty schedule: 12 months plus 1 day to December 31st of yearling year 2 year old year 3 year old and older

$ 200 $ 400 $1,000

71 IAC 14.5-1-1 Indiana bred quarter horse Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 1. (a) Indiana bred quarter horse means any properly registered quarter horse foaled in Indiana and whose dam was registered with the commission. (b) The mare must: (1) have entered Indiana by November 1, 2008, and by July 1, 2009 and each year thereafter in the year prior to foaling. (2) remain in Indiana continuously until foaling. The resulting foal will then be eligible to be registered as an Indiana bred. (b) In the event a mare entered Indiana and was registered with the commission after November 1, 2008 and by July 1, 2009 and each year thereafter in the year prior to foaling, the foal (which must be foaled in Indiana) may be eligible to be registered as an Indiana bred. (c) The mare must be bred back to a registered Indiana stallion in the year of foaling for the foal to qualify as an Indiana bred. (d) If the mare fails to conceive when bred or is unfit to breed due to health reasons, a veterinarian certificate is required from a licensed Indiana veterinarian. (e) If the mare does not conceive it must: (1) remain open for that breeding season in order for the mare's current foal to be eligible to be registered as an Indiana bred; (2) remain in Indiana for a period of thirty (30) days from the foaling date; and (3) the mare and foal must be inspected by a commission representative prior to leaving the state. (f) An Indiana bred quarter horse foaled prior to the year 2002 will require that the breeder must be a resident of Indiana as noted on the American Quarter Horse Association registration certificate. These horses must be registered with the commission by September 1, 2002, or will not be eligible for the Indiana bred program. (g) The horse must be registered with the commission prior to being entered in an Indiana bred conditioned race. (Indiana Horse Racing Commission; 71 IAC 14.5-1-1; emergency rule filed Nov 15, 2000, 11:40 a.m.: 24 IR 1036; emergency rule filed Aug 23, 2001, 9:58 a.m.: 25 IR 123; readopted filed Oct 30, 2001, 11:50 a.m.: 25 IR 899; emergency rule filed Nov 29, 2001, 1:23 p.m.: 25 IR 1190; readopted filed Mar 23, 2007, 11:31 a.m.: 20070404-IR-071070030RFA; emergency rule January 24,2008)