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C-72.1, r. 4 - Rules respecting Standardbred horse races held at a professional race track
Schedule
Disposition versions
SCHEDULE I
(s. 113)
APPLICATION FOR CLAIM
(Offer to purchase)
_________________________________________________________________________________
| |
| Name of Name of |
| association: ______________________________ horse: __________________________ |
| |
| I (We), the undersigned, claim the horse mentioned above participating in the |
| ____________________________ race, held on _______ /_______ /_______. This |
| year month day |
| |
| horse is claimed for the sum of $ _________________, in accordance with the |
| Rules respecting Standardbred horse races held at a professional race |
| track (chapter C-72.1, r. 4). |
| |
| CLAIMED BY OR FOR: |
| |
| NAME CITY LIC. NO. |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| □ I am acting as an agent in accordance with the mandate attached hereto. |
| |
| Licence No.: ______________________________ _____________________________ |
| Signature |
| |
| Otherwise, the signature of the claimant(s) |
| |
| _____________________________________ ____________________________________ |
| |
| _____________________________________ ____________________________________ |
| |
| Date: _______ /_______ /_______. |
| year month day |
| |
| □ The written attestation of the association has been supplied, in |
| accordance with the Rules respecting Standardbred horse racing, certifying |
| that the claimant(s) possess(es) in an account of the association the |
| amount required to pay the claiming price, the transfer and registration |
| fees and any allowance granted to the horse claimed. |
|_________________________________________________________________________________|
_________________________________________________________________________________
| |
| The horse bearing tattoo number _________________________ is delivered to: |
| |
| __________________________________________________ |
| Name of trainer |
| |
| Date: _______ /_______ /_______ ____________________________________ |
| year month day Signature of racing judge |
|_________________________________________________________________________________|
| |
| Name of Name of |
| association: ______________________________ horse: __________________________ |
| |
| I (We), the undersigned, claim the horse mentioned above participating in the |
| ____________________________ race, held on _______ /_______ /_______. This |
| year month day |
| |
| horse is claimed for the sum of $ _________________, in accordance with the |
| Rules respecting Standardbred horse races held at a professional race |
| track (chapter C-72.1, r. 4). |
| |
| CLAIMED BY OR FOR: |
| |
| NAME CITY LIC. NO. |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| ________________________ ________________________ _______________________ |
| |
| □ I am acting as an agent in accordance with the mandate attached hereto. |
| |
| Licence No.: ______________________________ _____________________________ |
| Signature |
| |
| Otherwise, the signature of the claimant(s) |
| |
| _____________________________________ ____________________________________ |
| |
| _____________________________________ ____________________________________ |
| |
| Date: _______ /_______ /_______. |
| year month day |
| |
| □ The written attestation of the association has been supplied, in |
| accordance with the Rules respecting Standardbred horse racing, certifying |
| that the claimant(s) possess(es) in an account of the association the |
| amount required to pay the claiming price, the transfer and registration |
| fees and any allowance granted to the horse claimed. |
|_________________________________________________________________________________|
_________________________________________________________________________________
| |
| The horse bearing tattoo number _________________________ is delivered to: |
| |
| __________________________________________________ |
| Name of trainer |
| |
| Date: _______ /_______ /_______ ____________________________________ |
| year month day Signature of racing judge |
|_________________________________________________________________________________|
