Form ADR061 "Retired Racehorse Adoption Grant Application" - Arizona

What Is Form ADR061?

This is a legal form that was released by the Arizona Department of Gaming - Division of Racing - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the Arizona Department of Gaming - Division of Racing;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ADR061 by clicking the link below or browse more documents and templates provided by the Arizona Department of Gaming - Division of Racing.

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Download Form ADR061 "Retired Racehorse Adoption Grant Application" - Arizona

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ARIZONA RACING COMMISSION
Arizona Department of Gaming Racing Division
G
A
RETIRED RACEHORSE ADOPTION
RANT
PPLICATION
(Pursuant to A.A.C. R19-2-126)
Please print or type the following information:
Adoption Agency:
Mailing Address:
City, State, Zip:
Contact Person:
Phone #
Date filed:
Fax #
E-Mail ________________________________
Please attach one copy of each of the following:
1.
A written description of the adoption agency.
2.
A written description of the proposed use of the grant.
3.
Proof of nonprofit status.
4.
A description of the adoption agency's procedures to acclimate the racehorses as
required by R19-2-126(C)(6).
5.
A description of the adoption agency's procedures for adoption of a retired racehorse as
required by R19-2-126(C)(7).
6.
A copy of the application form required in R19-2-126(C)(7)(a).
7.
A copy of the adoption agreement required in R19-2-126(C)(7)(c).
8.
A copy of the owner release form required in R19-2-126(C)(8).
9.
A letter of recommendation from a general manager or other executive of an Arizona
racetrack.
The deadline for consideration of the annual grant is March 6.
Please submit the completed application to:
A
D
G
R
D
RIZONA
EPARTMENT OF
AMING
ACING
IVISION
Cassie Goodwin, Investigative Assistant
1110 West Washington, Suite 450
Phoenix, AZ 85007
The Department shall forward the completed application to the Arizona Racing Commission.
Pursuant to A.A.C. R19-2-126(B), the Commission shall decide which enterprise shall receive a
grant, the amount of the grant, and the date of disbursement of such grant.
ADR 061 (rev 02-2017)
ARIZONA RACING COMMISSION
Arizona Department of Gaming Racing Division
G
A
RETIRED RACEHORSE ADOPTION
RANT
PPLICATION
(Pursuant to A.A.C. R19-2-126)
Please print or type the following information:
Adoption Agency:
Mailing Address:
City, State, Zip:
Contact Person:
Phone #
Date filed:
Fax #
E-Mail ________________________________
Please attach one copy of each of the following:
1.
A written description of the adoption agency.
2.
A written description of the proposed use of the grant.
3.
Proof of nonprofit status.
4.
A description of the adoption agency's procedures to acclimate the racehorses as
required by R19-2-126(C)(6).
5.
A description of the adoption agency's procedures for adoption of a retired racehorse as
required by R19-2-126(C)(7).
6.
A copy of the application form required in R19-2-126(C)(7)(a).
7.
A copy of the adoption agreement required in R19-2-126(C)(7)(c).
8.
A copy of the owner release form required in R19-2-126(C)(8).
9.
A letter of recommendation from a general manager or other executive of an Arizona
racetrack.
The deadline for consideration of the annual grant is March 6.
Please submit the completed application to:
A
D
G
R
D
RIZONA
EPARTMENT OF
AMING
ACING
IVISION
Cassie Goodwin, Investigative Assistant
1110 West Washington, Suite 450
Phoenix, AZ 85007
The Department shall forward the completed application to the Arizona Racing Commission.
Pursuant to A.A.C. R19-2-126(B), the Commission shall decide which enterprise shall receive a
grant, the amount of the grant, and the date of disbursement of such grant.
ADR 061 (rev 02-2017)