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ONLINE RACING APPLICATION

Last Name:* First Name:*
USTA Number:*    
Street:* City:*
State or Providence:* Zip or Postal Code:*
Phone 1:* Phone 2:
Email Address:* Stable Location:*

Horses will be racing in paid stakes or closer events only for a limited number of starts.


Name of Horse Gait Age Sex PA Owned or Sired Expected Month First Start Here '14 Coggins, Rabies, EHV
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Did you race at Harrah's Philadelphia in 2013?
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Have you ever had a horse test positive for EPO, or ever had a horse scratched due to a pre-race blood-gas high reading?
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If yes, give details
Have you ever been charged with a racing violation since Jan 1, 2009?
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If yes, give details
Are you currently racing while under appeal in any jurisdiction?
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If yes, give details
Have you ever been ejected from or denied access or admission to any racetrack?
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If yes, give details
Have you ever violated or been charged with a violation of any rule, regulation, or order, by the USTA, any racing official, association, or racing commission in the United States, Canada, or elsewhere, whereby the license was denied, revoked, or suspended over 10 days or fined greater than $1,000.00?
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If yes, give details
* I acknowledge that any horse currently or possibly racing in claiming events will need a signed claiming authorization by the owner(s) on file with the Clerk of the Course prior to entering at Harrah's Philadelphia. If a claiming authorization is not on file, a horse will not have preference to race.
* I acknowledge that stable employees are required to be covered by workmen's compensation insurance while in my employ and racing at Harrah's Philadelphia. The proper paperwork must be filed with the Pa. Harness Racing Commission.
* I acknowledge that if a trainer has been found to have used erythropoietin (EPO) or any Class I drug as defined by the Association of Racing Commissioners International, Inc. while racing at Harrah's Philadelphia will receive a lifetime ban from racing at Harrah's Philadelphia following the full procedures of adjudication.
* I acknowledge that if suspended for a medication violation, horses listed in my stable may not be transferred to my spouse, member of the immediate family, assistant or employee in the stable or household member.
* I acknowledge that a second positive test during the same meet may automatically prohibit a trainer from entering horses at Harrah's Philadelphia during the remainder of the current meet.

PLEASE READ THIS SECTION CAREFULLY AND ACKNOWLEDGE PRIOR TO SUBMITTING



I acknowledge & accept the aforementioned release of liability regarding my racing privileges at Harrah's Philadelphia & Racetrack. By checking the box I attach my legal signature to this application that the information I have provided is the truth to the best of my knowledge and that I abide to these and any regulations and rules associated with this racing facility. *

 

 

If you are satisfied with the answers you have provided, click on the "Submit" button.