4For Dual Hemisphere Stallions of :
I declare that the information concerning the principal residence of this stallion is correct
and that this stallion shall be made available for inspection by representatives of the Program at any time.
- I further understand that if the declared location of the residency is in question, the onus will be on the
owner/lessee to provide further documentation to verify eligibility for the Program.
- I understand that should I fail to provide documentation as requested the stallion may be ineligible for Ontario
- 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 Standardbred Improvement Program.
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 the
I agree to comply with the Horse Racing Licence Act, and the Rules of Standardbred 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.
I understand that 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.