Alberta Thoroughbred Race Club I would like to become a member of the Alberta Thoroughbred Race Club and agree to the following:

1. The purpose of the Alberta Thoroughbred Race Club (hereafter “club”) is to provide the experience of Thoroughbred racehorse ownership.

2. The club has been structured to ensure that there is zero risk of any further costs or expenses over and above the initial membership fee.

3. Club membership fees will be used to pay for club operating expenses, horse lease expense and

ALL costs associated with each horse from Nov 1, 2015 to Oct 31, 2016. The club will bear none of the risks associated with owning or buying the horses.

4. The club has acquired by way of lease the following horses: Swift Sally Swift, Krissy Fortynine

and Streakin Discreet. It is the intention to race each horse for the entire 2016 Alberta "A" circuit race season (May 1, 2016 - October 31, 2016). No guarantees are made to the actual amount of starts (races) each horse will have.

5. Curtis Landry (HBPA Director) will represent the clubs interests and act as manager of the clubs leased horses. No management fee will be charged to the club.

6. All racing and training decisions will rest with the club manager and the applicable trainer for

each horse.

7. Membership fees will be deposited into the account of Curtis Landry. All expenses will be paid from same account.

8. The club will sell up to 200 memberships at $250 each. Each membership will represent a

1/200th share in the club.

9. All proceeds from member fees, purse monies and proceeds of horse sales (private sales or claims) net of all racing expenses, leasing expenses and club costs will be distributed on a per share basis.

10. On October 31, 2016 the membership will become null and void.

11. After October 31, 2016 the financial statements and applicable proceeds (if any) will be distributed to the members. Don Danard (HBPA Director) will act as the independent party to review the financial statements.

12. It is the intent to create a new club for the 2017 Alberta "A" circuit season. The horses that raced for the club in 2016 will again be leased to the club for 2017 provided it is merited by their

performance. All 2016 club members will have first rights to purchase a membership for the 2017 club.

I represent to the club that I am eligible to receive an HRA Owner’s License and understand that such

license is required to participate in the club. I represent to the club that I am not a holder of a current

HRA Owners License. I understand that if I am denied an HRA Owners license or Club Membership, my

membership fees will be returned.

I agree that this is the only agreement that applies to the club.

Signature: Date:

Name:

Mailing Address:

City: Prov: PC:

Phone:

Email:

Please print and complete both forms and either scan and email to clandry@xplornet.ca or print and

mail to:

Curtis Landry Box 1170 Gibbons, AB T0A 1N0

Membership fees can be paid by mailing a cheque to the address above or by E-Transfer to the email

above. (ensure that security answer is sent to same email)

Cheques are made payable to Curtis Landry.

Horse Racing AlbertaP.O. BOX 70085 R.P.O. LONDONDERRY

EDMONTON, ALBERTA, CANADA T5C 3R6PHONE: (780) 413-6585 FAX: (780) 413-6687

Thoroughbred Licence

Application Year: _______________

STATUS q New q Renewal Previous: ___________

LAST NAME

CITY, TOWN OR VILLAGE

CITY, TOWN OR VILLAGE

PERMANENT ADDRESS

LOCAL ADDRESS

PLACE & DATE OF BIRTH Mo / Day / Year

EMPLOYMENT INFORMATION (OCCUPATION OTHER THAN RACING)EMPLOYER OCCUPATION

FIRST NAME

PROVINCE OR STATE

PROVINCE OR STATE

MIDDLE NAME

POSTAL CODE

POSTAL CODE

TELEPHONE

TELEPHONE

SOCIAL INSURANCE/SOCIAL SECURITY

BUSINESS ADDRESS

NORMALLY USED

MARITAL STATUS

EYE COLOR

SEX

HAIR COLOR

HEIGHT

WEIGHTTELEPHONE

HAVE YOU PREVIOUSLYBEEN IDENTIFIED WITH q YesRACING IN ANY CAPACITY q No

NEXT OF KIN

TYPE OF LICENCE(S) HELD

RELATIONSHIP

PROVINCE(S)/STATE(S)

ADDRESS

WHICH YEARS

TELEPHONE

A APPLICANTS FOR AN OWNER’S OR TRAINER’S LICENCE MUST COMPLETE THE FOLLOWING:

Form 2-15T

APPROVED FEE RECEIPT NO LICENCEE NOFOR H.R.A. USE ONLY

REVERSE SIDE MUST BECOMPLETED WHERE APPLICABLE >

INCOMPLETE OR INCORRECT ANSWERS MAY LEAD TO REFUSAL OR CANCELLATION OF YOUR LICENCE.q OWNER $50.00q OWNER - 3 YEAR $150.00q TRAINER $50.00q OWNER/TRAINER $75.00q ASSISTANT/TRAINER $40.00q OWNER/OPEN CLAIM $50.00q AUTHORIZED AGENT $20.00q APPRENTICE JOCKEY $25.00q RACING OFFICIAL $5.00

q GROUNDSMAN $5.00q BUSINESS $30.00q EXERCISE PERSON $10.00q FARRIER/PLATER $40.00q FEEDMAN $20.00q GROOM $10.00q JOCKEY $50.00q JOCKEY AGENT $50.00q ANIMAL HEALTH TECH $30.00

q PONY PERSON $10.00q TEST INSPECTOR $5.00q TRADESPERSON $20.00q VALET $5.00q VAN DRIVER $20.00q VETERINARIAN $60.00q VETERINARY AUXILIARY $25.00q MISC. $10.00

TO BELICENCEDAS:

STABLE NAME (IF ANY) _________________________________________________________________________________________________________(SEPARATE REGISTRATION AND FEE REQUIRED)

HORSES IN TRAINING OWNED (WHOLLY OR IN PART) OR LEASED BY APPLICANT:

NAMEOWNED

OUTRIGHTJOINTLYOWNED

LEASEDPERCENT OWNED

NAMES OF PARTNERS, LESSORS OR LIEN HOLDERS

IF AN OWNER, STATE NAME OF TRAINER q Self Other ____________________________________________________________________(NAME)

IF A TRAINER, OR OWNER TRAINER, GIVE NAMES OF ALL OWNERS FOR WHOM YOU ARE TRAINING HORSES:

____________________________________________________________ ____________________________________________________________

ALL RACING LICENCE APPLICANTS MUST COMPLETE THE FOLLOWING:

I hereby consent to and authorize Horse Racing Alberta and the Canadian Pari-Mutuel Agency, or their delegated authorities, to collect, use, and disclose my personal information for the purpose of carrying out their statutory and/or regulatory objects and obligations, including but not limited to enforcement of an equine drug control program, or as otherwise required or authorized by law.

DATE __________________________________ SIGNATURE _________________________________________________________________________

x

x

2016

ALBERTA THOROUGHBRED RACE CLUB

Craig Smith & Rod Cone

Krissy Fortynine x

Swift Sally Swift

Streakin Discreet

x

x

B APPLICANTS FOR A DRIVER/APPRENTICE JOCKEY/JOCKEYLICENCE MUST COMPLETE THE FOLLOWING:

ALBERTA HEALTH CARE NUMBER

HAVE YOU BEEN LICENCED q YesIN PRIOR YEARS? q No

Where WHEN

CITIZENSHIP

C APPLICANTS FOR A JOCKEY’S AGENT LICENCE MUST COMPLETE THE FOLLOWING:

WHAT JOCKEY’S HAVE ENGAGED YOU AS AGENT? __________________________________________________________________________________

______________________________________________________________________________________________________________________________

D APPLICANTS FOR GROOM’S/HOT WALKER’S/ASSISTANT TRAINER’S/SUNDRY LICENCEMUST HAVE THE FOLLOWING COMPLETED BY EMPLOYER:

THE APPLICANT _________________________________________ IS GAINFULLY EMPLOYED BY ME. UPON THE EMPLOYEE’S TERMINATION, I

SHALL NOTIFY HORSE RACING ALBERTA AS TO WHEN AND WHY THE EMPLOYEE LEFT MY EMPLOY.

____________________________________________PRINTED NAME OF EMPLOYER

_____________________________________________________20_________________ ____________________________________________SIGNATURE OF EMPLOYER

E ALL APPLICANTS FOR A LICENCE MUST COMPLETE THE FOLLOWING:

HAS YOUR APPLICATION FOR A LICENCE OF ANY KIND EVER BEEN REFUSED BY ANY q Yes HAVE YOU OR YOUR SPOUSE BEEN CONVICTED OF ANY q YesRACING COMMISSION OR GOVERNING BODY OF RACING, OR HAVE YOU EVER BEEN q No CRIMINAL OFFENSE OR AN OFFENSE UNDER q NoREFUSED, SUSPENDED OR EXPELLED FROM ANY RACE TRACK OR HAVE YOU OR THE CRIMINAL CODE OF CANADA OR DO YOU HAVE ANYYOUR SPOUSE BEEN CONVICTED OF ANY OFFENSE AGAINST ANY RULES OF CHARGES PENDING?RACING IN ANY JURISDICTION?

IF YOUR ANSWER IS YES, TO ONE OR BOTH OF THE QUESTIONS ABOVE, IS IT RECORDED ON FILE WITH THE HRA? q Yes IF NOT RECORDED ON FILE, GIVEq No DETAILS OF EACH CONVICTION

DATE PLACE NATURE OF RULING/CONVICTION DISPOSITION OF RULING/CONVICTION

I HEREBY CERTIFY THAT THE INFORMATION THAT I HAVE PROVIDED IN THIS APPLICATION IS TRUE AND COMPLETE. BY ACCEPTANCE OF A LICENCE PURSUANT TO IT.I HEREBY AGREE TO COMPLY WITH THE RULES AND REGULATIONS OF HORSE RACING ALBERTA GOVERNING RACING AND TO ACCEPT THE DECISIONS OF THE RACINGOFFICIALS AND/OR HORSE RACING ALBERTA AS FINAL ON ANY MATTER RELATING TO A RACE OR RACING.I SPECIFICALLY AGREE TO COMPLY WITH THE RULES REGARDING BREATH ANALYSIS AND BODY FLUID TESTS.

I HEREBY CONSENT TO AND AUTHORIZE HORSE RACING ALBERTA TO UNDERTAKE A CRIMINAL CHECK AND CONFIRM WITH ANY POLICE AGENCY THE DETAILS OF ANY CONVICTIONS WHICH MAY HAVE BEEN MADE AGAINST ME FOR ANY OFFENCE UNDER ANY FEDERAL OR PROVINCIAL LEGISLATION AS WELL AS FOR ANY CHARGE WHICH MAY BE OUTSTANDING AGAINST ME UNDER SUCH LEGISLATION.

I FURTHER HEREBY CONSENT TO AND AUTHORIZE ANY POLICE AGENCY TO RELEASE TO HORSE RACING ALBERTA SUCH DETAILS OF CONVICTIONS AND OUTSTANDING CHARGES AS AFORESAID AND FOR SO DOING THIS SHALL BE THEIR GOOD AND SUFFICIENT WARRANT, DISCHARGE AND AUTHORITY, AND ALSO THAT MY NAME MAY BE USED FOR INTERNAL SURVEYS RELATING TO HORSE RACING.

OTHER NAMES I HAVE USED: SIGNATURE: ______________________________________________

______________________________________________________ DATE: ______________________________________________

WARNING: A FALSE ANSWER TO A QUESTION MAY RESULT IN THE DENIAL OF THIS APPLICATION, OR IN THE REVOCATION OF A LICENCE, IF ISSUED.BE CERTAIN THAT EACH QUESTION IS READ CAREFULLY AND UNDERSTOOD BEFORE ANSWERING IT.

NAME OF AGENT

Date