MANDATORY DECLARATIONS

I understand that the Program Administrator may share my contact information (including by electronic means) for the purpose of administering the Ontario Horse Improvement Program and the Thoroughbred Improvement Program.

I understand that all decisions and determinations regarding the entitlement and distribution of the Stallion Awards shall be made by the Program Administrator and shall be final.

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 horse has full knowledge of the filing of this document. I further certify that each person or entity having ownership interest in this horse has authorized me to complete and file this application form and that I have full power and authority to receive any requested or related documents from Ontario Racing. I agree to comply with the Horse Racing Licence Act, 2015, and the Rules of Thoroughbred Racing of the Alcohol and Gaming Commission of Ontario (AGCO). I further certify that I have read and understand the conditions of stallion eligibility as published by Ontario Racing and certify that this stallion meets these eligibility requirements and that the information stated on this form is true and correct. I hereby assume full responsibility for the information provided, and if proven inaccurate, all Stallion Awards will be forfeited and refunded.

NOTE: The Program Administrator reserves the right to amend, cancel or alter the Program and/or make changes to the terms, conditions, and benefits of any nature and kind whatsoever and, the signatories of this form hereby agree to be bound by such changes.