Canadian Thoroughbred Horse Society

New Mare Recruitment Program Fillable

New Mare Recruitment Application Form - Part 2

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PART 2 OF THIS PROGRAM IS ONLY OPEN TO APPLICANTS THAT RECEIVED FUNDING UNDER PART 1 OF THE SAME PROGRAM IN 2023. TO BE ELIGIBLE FOR THE SECOND PAYMENT OF $2,000, A COPY OF THE 2024 JOCKEY CLUB LIVE FOAL REPORT MUST BE ATTACHED TO THIS APPLICATION (PROGRAM IS NON-TRANSFERABLE).

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BREEDER INFORMATION

OWNER OF MARE AT TIME OF FOALING:

CTHS Membership#

ADDRESS: (City/Town /Province /Postal Code)

PHONE NUMBER:

Email:

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MARE AND FOAL INFORMATION

MARE REGISTERED NAME:

JOCKEY CLUB REGISTRATION NUMBER:

YEAR OF BIRTH (YYYY):

DATE OF FOALING:

PLACE FOALED: (PROVINCE)

NAME OF FOAL'S SIRE:

MANDATORY BREEDER DECLARATIONS

YOUR SIGNATURE BELOW CONSITUTES YOUR AGREEMENT TO ALL CONDITIONS:

I declare that the information concerning this Thoroughbred mare is correct and that this mare shall be made available for inspection by representatives of the New Mare Recruitment Program (NMRP) at any time.

• The above stated in-foal mare has not foaled in Alberta in 2021 and 2022.

• I further understand that the onus will be on the Breeder to provide further documentation to verify eligibility to the NMRP.

• I understand that should I fail to provide documentation as requested, the mare may be ineligible for NMRP status.

• I understand that all applications are subject to the approval of the CTHS (Alberta) Board of Directors.

I, the undersigned, certify that I have full power and authority to execute and file this application and that each person or entity having ownership interest in this mare has full knowledge of the filing of this document. I further certify that each person or entity having ownership interest in the mare has authorized me to complete and file this application form.

I further certify that I have read and understand the conditions of mare eligibility as published by CTHS (Alberta Division) and certify that this mare meets these eligibility requirements and that the information states on this form is true and correct. I hereby assume full responsibility for the information provided.

PLEASE PRINT YOUR NAME CLEARLY IN THE BOX BELOW:

PLEASE SIGN IN THE BOX BELOW: (BREEDER SIGNATURE)

DATE:

PRIVACY AND CONSENT:

I GIVE THE PROGRAM ADMINISTRATOR PERMISSION TO SHARE MY CONTACT INFORMATION (INCLUDING BY ELECTRONIC MEANS) FOR THE PURPOSE OF MARKETING THE CTHS (ALBERTA DIVISION) NEW MARE RECRUITMENT PROGRAM.

PRIVACY AND CONSENT:

YES

SIGNATURE:

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DEADLINE IS September 1, 2024

Breeders must be Full Members in good standing of the CTHS to qualify for this program.

TO CONTACT FOR PROGRAM INFORMATION OR QUESTIONS REGARDING SUBMISSION OF COMPLETED FORMS:

CTHS (ALBERTA DIVISION)

#218, 1935 - 32ND AVE

CALGARY, ALBERTA T2E 7C8

P: 403-229-3609 OR F: 403-244-6909

EMAIL: cthsweb@cthsalta.com

Info

C.T.H.S. Alberta Division

Unit #218, 1935 – 32nd Avenue N.E.

Calgary, AB T2E 7C8

Email: cthsweb@cthsalta.com

Phone: 403-229-3609
Fax: 403-244-6909

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