Free TB foal app blank year 8.5 color - Indiana

Thoroughbred

For Office Use Only:

State Form 48657 (R10/2-08)

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 E-Mail Address State Sex: Colt / Filly Dam

(If unnamed, so state) Color

Zip Business

(Owner of Dam at Foaling - must match Jockey Club Certificate)

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 Thoroughbred Breed Development Director www.in.gov/hrc [email protected]

Continued

71 IAC 13.5-1-1 "Indiana bred" defined Authority: IC 4-31-3-9 Affected: IC 4-31 Sec. 1. (a) "Indiana bred" means any properly registered thoroughbred, foaled in Indiana and whose dam was registered with the commission. (b) The mare must: (1) have entered Indiana by November 1 in the year prior to foaling; and (2) remain in Indiana continuously until foaling. The resulting foal will then be eligible to be registered as an Indiana bred. (c) Mares registered for current breeding year may leave the state to be entered in an advertised public sale and may leave the state for the interval of the sale, but must return to Indiana within fourteen (14) days of her sale if the residency requirements for foal registration are to be fulfilled. (d) Appeal of the fourteen (14) day return requirement must be forwarded to the commission for the review and recommendation of the breed development advisory committee. Notification to the commission must be made in writing for mares leaving the state prior to participating in an advertised public sale. Upon return to the state the mare must be reregistered with the appropriate forms available from the commission. (e) In the event a mare entered Indiana and was registered with the commission after November 1 in the year prior to foaling, the foal (which must be foaled in Indiana) may be eligible to be registered as an Indiana bred. (f) 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. (g) 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 veterinarian. (h) 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 the mare and foal must be inspected by a commission representative prior to leaving the state. (i) The commission must be notified in writing and provide proper documentation for any mare and/or foal leaving the state for medical treatment. (j) Appeals for the waiver of the thirty (30) day residency requirement of the mare and/or foal must be forwarded to the commission for the review of the breed development committee. (k) The horse must be registered with the commission prior to being entered in an Indiana bred conditioned race. (Indiana Horse Racing Commission; 71 IAC 13.5-1-1; emergency rule filed Jun 22, 2000; 3:05 p.m.: 23 IR 2786; emergency rule filed Aug 23, 2001, 9:58 a.m.: 25 IR 122; readopted filed Oct 30, 2001, 11:50 a.m.: 25 IR 899; readopted filed Mar 23, 2007, 11:31 a.m.: 20070404-IR-071070030RFA; emergency rule filed January 24, 2008)

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