2008 STALL
APPLICATION
HAZEL PARK RACEWAY , INC.
WHITE
APPLICATIONS – STALLS ON GROUNDS
BLUE APPLICATIONS
– SHIP-INS ONLY
1.
Stalls will be assigned to individual horses. Stalls
shall be vacated upon request and all horses, equipment, and personnel shall be
removed from the grounds within 24 hours after such request and in any event,
within 48 hours after the end of the race meeting. Failure to abide by either
of these conditions will constitute an authorization to
2.
Applicant on his (her) own behalf and as agent for
any horse owner receiving stall space or upon entering horses for racing
purposes, agrees that he (she) and his
(her) principals shall be bound by all the terms and conditions of any written
agreement between the track and the MICHIGAN HARNESS HORSEMEN’S ASSOCIATION,
including, but not limited to the distribution of purse money to said
Association for insurance, welfare, administration or any other contractual
purposes; and further, the applicant or his principles agree to said
contractual agreement although they may not be members of the association and
may not benefit directly or indirectly.
3.
Michigan Harness Racing Commission Rule 1035 in part
reads:
a)
Application for an occupational license means consent
and agreement by the applicant, upon application and for the duration of the
occupational license, if issued, to all of the following conditions precedent:
That all representations on the application filed are complete and correct and,
when required by the commissioner, are accompanied by finger print
identification, proof of worker’s compensation insurance, or certification of
professional licensing and any other information the commissioner considers
necessary and proper.
4.
The undersigned, for himself (herself) and his (her) principal(s),
employer(s), agent(s), and employee(s) Waives all rights incident to
photographic or television production in connection with any race, preparations
therefore, or proceedings thereafter. Authorizes the search with or without
cause without a search warrant on any allotted stall or tack room and the
person and vehicle on the grounds owned, driven by or admitted at the
invitation of any of them and seizure of any drug or mechanical device usable
to stimulate or depress any horse.
5.
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK
AND INDEMNITY AGREEMENT. In consideration of being permitted to compete,
officiate, observe, work, drive, or participate in any way in the EVENT(S) at:
HAZEL PARK RACING ASSOCIATION, INC., or being permitted to enter for any
purpose any RESTRICTED AREA (defined as any area requiring special
authorization, credentials, or permission to enter or any area to which
admission by the general public is restricted or prohibited), I, now and for
the future, on behalf of myself, my personal representatives, heirs, and next
of kin:
a)
Acknowledge, agree, and represent that I have or will
immediately upon entering any of such RESTRICTED AREAS and/or the premises, and
will continuously thereafter, inspect the RESTRICTED AREAS and/or the premises
which I enter, and further agree and warrant that , if at any time, I am in or
about RESTRICTED AREAS and/or the premises and I feel anything to be unsafe, I
will immediately advise the officials of such and if necessary will leave the
RESTRICTED AREAS and/or the premises and/or refuse to participate further in
the EVENT(S). Should I participate in
the EVENT(S), said participation is my acknowledgment of the acceptance of any
and all risks, known or unknown, associated with said participation or of any
unsafe conditions.
b)
HEREBY AND FOREVER RELEASE, WAIVE, DISCHARGE AND
COVENANT NOT TO SUE the promoters, participants, racing associations,
sanctioning organizations or any subdivision thereof, track operators, track
owners, officials, horsemen, horse owners, grooms, trainers, drivers, state
racing commission officials, stewards, the Michigan Harness Horsemans
Association, rescue personnel, and any
persons in any RESTRICTED AREA and/or the premises, promoters, sponsors,
advertisers, owners and lessees of premises used to conduct the EVENT(S),
premises and event inspectors, surveyors, underwriters, consultants and others
who give recommendations, directions, or instructions or engage in risk
evaluation or loss control activities regarding the premises or EVENT(S) and
each of them, their directors, officers, agents, servants and employees, all
for the purposes herein referred to as Releasees,
FROM ALL LIABILITY TO ME, my personal representatives, assigns, heirs, and next
of kin, my owners, drivers, agents, servants, and employees FOR ANY AND ALL
LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO MY
PERSON OR PROPERTY OR RESULTING IN MY DEATH ARISING OUT OF OR RELATED TO THE
EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
c)
HEREBY AGREE TO DEFEND, INDEMNIFY AND SAVE AND HOLD
HARMLESS the Releasees, and each of them, FROM ANY
LOSS, LIABILITY, DAMAGE, OR COST they may incur due to claims brought against
the Releasees arising out of or related to my injury
or death from the EVENT(S), or the injury or death of my owners, drivers,
trainers, grooms, visitors, agents, servants, employees and participants, WHETHER CAUSED BY
THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
d)
HEREBY acknowledge that THE ACTIVITIES OF THE
EVENT(S) ARE VERY DANGEROUS and that horses have the
propensity to behave in unpredictable ways, all of which involve the risk of
serious injury and/or death and/or property damage. I also expressly acknowledge that INJURIES
RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR
PROCEDURES OF THE RELEASEES.
e)
HEREBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF
BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of the EVENT(S) whether
caused by the NEGLIGENCE OF RELEASEES or otherwise.
f)
HEREBY agree that this Release and Waiver of
Liability, Assumption of Risk and Indemnity Agreement extends to all acts of
negligence by the Releasees, INCLUDING NEGLIGENT
RESCUE OPERATIONS, and is intended to be as broad and inclusive as is permitted
by the laws of the State of Michigan in which the EVENT(S) is/are conducted and
that if any portion thereof is held invalid, it is agreed that the balance
shall, notwithstanding, continue in full legal force and effect.
g)
HEREBY agree this Agreement shall be binding upon and
enforceable against me, my personal representatives, spouse, assigns, heirs,
next of kin, owners, trainers, grooms, drivers, my agents, servants and
employees and other participants, without limitation and shall be in full force
and effect for all EVENT(S) at Hazel Park Harness Raceway, Inc.
I HAVE READ THE CONDITIONS
OF ACCEPTANCE, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND
INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN
UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY
WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY
SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE
GREATEST EXTENT ALLOWED BY LAW.
*APPLICANTs
Legal Signature:__________________________________________________________________________________________
Date:____________________
Address:______________________________________________Telephone Number (_____)________________
*APPLICATIONS
NOT SIGNED WILL NOT BE CONSIDERED AND WILL BE REJECTED
STABLE
ROSTER MUST BE COMPLETE ON REVERSE SIDE OF APPLICATION
STABLE
ROSTER
1.
No horse named in the application will be admitted (a) unless this
application is accepted by Hazel Park Racing Association and (b) is accompanied
by proof of negative Coggins Test for the calendar
year 2008. All horses racing at Hazel Park Raceway must show proof of EHV
(RHINO) vaccination by a licensed Vet within 6 months prior to entering to
race.
2.
Stalls not occupied by
3.
Horses allocated stalls may not race in an overnight event
at other racetracks except with the expressed approval of Hazel Parks Racing
Secretary.
4.
Entrance to the grounds may be denied to anyone without a security
badge/state license.
5.
All ship in stalls will be approved and assigned by horse only, and not
by owner or trainer. (ALL TRAINERS SHIPPING IN MUST HAVE A SHIP IN STALL
APPLICATION ON FILE WITH THE HAZEL PARK RACING ASSOCIATION)
6.
7.
8.
The barn area will be open April 14. 2008
9.
The association may assess a deposit, not to exceed fifty dollars
($50.00), for each tack room. Said deposit may be retained by the association
in the event that the tack room sustains damage or requires repairs upon being
vacated.
10. Absolutely no cooking or
cooking appliances in the tack rooms.
11. Passes issued are only for
person named, and misuse of the pass can result in the cancellation without
further notice.
12. No cars will be permitted in
restrictive areas of the stable area and no dogs will be permitted anywhere on
the grounds.
13. Shed rows and areas around
manure bins are to be clean, raked, and swept at all times. ABSOLUTELY NO
CLEANING OUT OF VEHICLES OR TRAILERS WHILE ON RACETRACK PROPERTY.
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NAME OF HORSE |
SEX |
AGE |
GAIT |
MOB |
CONDITION |
OWNER |
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INSERT
NUMBER OF CONDITION |
3.
N/W $750 PER START |
10.
CLAMING $ 50,000 |
17.
CLAMING $ 12,500 |
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EACH
HORES WILL BE ENTERED |
4.
N/W $500 PER START |
11.
CLAMING $ 40,000 |
18.
CLAMING $ 10,000 |
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INDICATED
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5.
N/W $400 PER START |
12.
CLAMING $ 30,000 |
19.
CLAMING $ 8,500 |
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STATUS
BY INSERTING A ( Y ) |
6.
N/W $300 PER START |
13.
CLAMING $ 25,000 |
20.
CLAMING $ 7,500 |
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FOR
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7.
N/W 3 RACES |
14.
CLAMING $ 20,000 |
21.
CLAMING $ 6,000 |
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1.
INVITATIONAL |
8
N/W 2 RACES |
15.
CLAMING $ 17,500 |
22.
CLAMING $ 4,000 |
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2.
OPEN |
9.
MAIDEN |
16.
CLAMING $ 15,000 |
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HORSES FOR WHICH STALLS
ARE REQUIRED.
NO STALLS WILL BE
CONSIDERED UNLESS PROGRAM CHARTS ARE ATTACHED.
APPLICATIONS NOT SIGNED ON OPPISITE SIDE WILL NOT BE
CONSIDERED AND WILL BE REJECTED. APPLICATIONS MUST BE SUBMITTED BY
APPLICANT’S PRINTED NAME
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