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2013 Racing Application
2013 Racing Application
To Be Filled Out By
TRAINER
Only (Owners cannot fill out this 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
'13 Coggins, Rabies, EHV
1.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
2.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
3.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
4.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
5.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
6.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
7.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
8.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
9.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
10.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
11.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
12.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
13.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
14.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
15.
-
P
T
-
2
3
4
5
6
7
8
9
10
11
12
13
14
-
M
F
-
Y
N
Select
January
February
March
April
May
June
July
Augustl
September
October
November
December
-
Y
N
Did you race at Harrah's Philadelphia in 2012?
-
Y
N
*
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?
-
Y
N
*
If yes, give details
Have you ever been charged with a racing violation since Jan 1, 2008?
-
Y
N
*
If yes, give details
Are you currently racing while under appeal in any jurisdiction?
-
Y
N
*
If yes, give details
Have you ever been ejected from or denied access or admission to any racetrack?
-
Y
N
*
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?
-
Y
N
*
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
The undersigned trainer represents that he/she is authorized to represent each and every horse listed on the Racing Application and has provided a copy of this agreement to each of the owner(s) of the horses submitted with this application. The authorized trainer of the horses listed on this application agrees to be bound by the terms herein for each horse they wish to be considered for racing privileges at Harrah's Philadelphia Casino & Racetrack. Furthermore, the trainer agrees to keep the list of horses herein for which he/she is authorized to act, up to date. This information is designed to assist and enhance the quality of racing at Harrah's Philadelphia Casino & Racetrack initially at the start of the race meet and/or this trainer's first starts at the facility. All authorized trainers are expected to notify the Racing Secretary at Harrah's Philadelphia Casino & Racetrack with any changes hereto within forty-eight (48) hours of said change via the Harrah's Philadelphia racing portion of the track website. All horses must go directly to the paddock unless permission is granted otherwise. Harrah's Philadelphia Casino & Racetrack reserves the right to refuse and/or terminate any prior license or permit granted in response to this application for racing privileges in whole or in part and/or to refuse the acceptance of any entry in any race for any reason or cause and without notice to the undersigned. The undersigned acknowledges that Harrah's Philadelphia Casino & Racetrack, its agents or employees, will not be liable or responsible for any injury or loss suffered in any manner by or to the horse or horses or equipment or personnel of the undersigned while on or off the premises or while being transported in any manner on or off the premises, irrespective of the cause of such injury or loss. The undersigned releases Harrah's Philadelphia Casino & Racetrack, its agents and employees from and against all claims for injury or loss by or on behalf of the undersigned and hold Harrah's Philadelphia Casino & Racetrack, its agents and employees, free and harmless from all cost, loss, damage, liability, or negligence of the undersigned or any of the undersigned's employees or agents. THIS SECTION MUST BE CAREFULLY READ AND SIGNED BY THE APPLICANT PRIOR TO BEING PERMITTED TO ENTER THE HARRAH'S PHILADELPHIA CASINO & RACETRACK FACILITY FOR ANY PURPOSE, including but not limited to restricted areas, racing surface, infield, paddock area, grandstand/clubhouse area, construction areas and all walkways, concessions, and other areas appurtenant to any area where any activity to an event shall take place (the "Facility"), or being permitted to compete, officiate, observe, work for, or for any purpose participate in any way in any event in the Facility. The undersigned, for himself/herself, his/her personal representatives, agents, heirs and next of kin, acknowledges, agrees and represents that he/she has, or will immediately upon entering the Facility or any restricted areas, and will continuously thereafter, inspect such areas and all portions thereof which he/she enters and with which he/she comes in contact, and he/she does further warrant that his/her entry and his/her participation, if any, in any event at the Facility constitutes an acknowledgement that he/she has inspected, and will continue to inspect, such areas and that he/she finds and accepts the same as being safe and reasonably suited for the purposes of his/her use, and he/she further agrees and warrants that if, at any time, he/she is in or about such areas and he/she feels anything to be unsafe he/she will refuse to participate further in the event, will immediately advise the officials of such unsafe condition and will promptly leave the areas. THE UNDERSIGNED HEREBY RELEASES, WAIVES, DISCHARGES, AND CONVENANTS NOT TO SUE THE PROMOTERS, PARTICIPANTS, RACING ASSOCIATION, SANCTIONING ORGANIZATION, OR ANY SUBDIVISION THEREOF, TRACK OPERATOR, TRACK OWNERS, OFFICIALS, HORSE OWNERS, GROOMS, TRAINERS, DRIVERS, HOT WALKERS, OR ANY PERSON IN ANY RESTRICTED AREA, SPONSORS, ADVERTISERS, OWNERS AND LESSEES OR PREMISES USED TO CONDUCT THE EVENT, PREMISES OR EVENT INSPECTORS, SURVEYORS, INSURERS, UNDERWRITERS, CONSULTANTS OR OTHER PERSON OR ENTITIES WHO GIVE RECOMMENDATIONS, DIRECTIONS, OR INSTRUCTION OR ENGAGE IN RISK EVALUATION OR LOSS CONTROL ACTIVITIES REGARDING THE PREMISES OR EVENT(S) AND EACH OF THEM, THEIR AFFILIATES, DIRECTORS, OFFICERS, AGENTS AND EMPLOYERS, ALL FOR THE PURPOSE HEREIN REFERRED TO AS THE "RELEASEES", FROM ALL LIABILITY to the undersigned, his/her personal representatives, agents, assigns, heirs and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned, whether caused by the negligence or gross negligence of the "Releasees" or otherwise while the undersigned is in or upon the Facility or competing, officiating in, observing, working for, or for any purpose participating in any event at the Facility. THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE "RELEASEES" from any loss, liability, damage or cost they may incur due to the presence of the undersigned in or upon the Facility or in any way competing, officiating, observing, or working for, or for any purpose participating at any time in any event at the Facility and whether caused by the negligence or gross negligence of the "Releasees" or otherwise. THE UNDERSIGNED HEREBY ASSUMES FULL RESPONSIBILITY FOR RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE DUE TO THE NEGLIGENCE OR GROSS NEGLIGENCE OF "RELEASEES" OR OTHERWISE while in or upon the Facility or while competing, officiating, observing or working for, or for any purpose participating in an event at the Facility. The undersigned expressly assumes all risks associated with the permission herein granted including risks, which are known, and those that are unknown, risks that are obvious and those that are not. The undersigned further acknowledges that if he/she had not agreed to the terms of this Release, he/she would not have been permitted to enter and remain in the Facility as contemplated by this Release. THE UNDERSIGNED expressly acknowledges and agrees that activities at events can be very dangerous and involve the risk of serious injury and/or death and/or property damage. THE UNDERSIGNED further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by law of the Commonwealth, Province, or State in which the event is conducted, and that if any portion thereof is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect. The undersigned agrees that he/she is not an agent, servant, or employee of any of the "Releasees". THE UNDERSIGNED hereby grants to Harrah's Philadelphia or its assignee the non-exclusive right to use the name and likeness of the undersigned, and the horses and horse owners listed on the reverse side of this form, and hereby releases the "Releasees" from all liability to the undersigned, the horse owners and each of their personal representatives, agents, assigns, heirs and next of kin for any and all loss or damage, and any claim or demands therefore because of or in any manner connected with or arising out of the distribution, sale or publication in any form whatsoever the photographs or electronic images of any nature whatsoever by Harrah's Philadelphia or its assignee. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no coercion or oral representations, statements, or inducements apart from the foregoing written agreement have been made.
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.
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