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					  FOR OFFICE USE ONLY:                                 JOCKEY AGENT
                                                        AGREEMENT
 Lic. #                                                    FORM                                                  STEWARD APPROVAL
                                                OKLAHOMA HORSE RACING COMMISSION
 Date
                                                     2401 NW 23rd Street, Suite 78                              Date:
 Expiration Date                                   Oklahoma City, Oklahoma 73107
                                                    (405) 943-6472 www.ohrc.org                                 By:
 Track               Clerk


This form must be filed for EACH agreement entered into by and between the herein named Jockey Agent and the Jockey(s) and/or
Apprentice Jockey for whom representation will be provided.
OHRC RULES PROVIDE: A Jockey Agent is the authorized representative of a Jockey if s/he is registered with the Stewards and
licensed by the Commission as the Jockey’s representative. No Jockey Agent shall represent more than two (2) Jockeys and one (1)
Apprentice Jockey at the same time. A Jockey Agent shall not give to anyone, directly or indirectly, any information or advice pertaining
to a race or engage in the practice commonly known as “touting” for the purpose of influencing any person, or that would tend to do so,
in the making of a wager on the result of any race. (OHRC Rule 317)


TO THE OKLAHOMA HORSE RACING COMMISSION:

I have this day appointed                                                                                                                      of
                                                          (Name)                                      (SS#)


                     (Street Address or Box #)                     (City)                        (State)                       (Zip)
to act for me in the capacity of Jockey Agent pertaining to the Rules and Regulations of the Oklahoma Horse Racing Commission
governing same. This appointment may be cancelled by either party upon written notice filed with the Oklahoma Horse Racing Commission.

CHECK ALL APPROPRIATE BOXES:

              Authority to arrange mounts.                Specify Tracks:

                                                          Limitations:


               Other Business.                            Describe:




ACKNOWLEDGEMENT:

Name of Jockey or Apprentice Jockey (Print):
                                                                          (Name)                            (SS#)
being first duly sworn, say that s/he is licensed as a Jockey or Apprentice Jockey with the Oklahoma Horse Racing Commission and the
statements and answers made in the foregoing application are true.




                      Signature of Jockey Agent                                        Signature of Jockey or Apprentice Jockey


Signed or attested before me this      day of          , 20,   .            Signed or attested before me this         day of           , 20,     .



                              Notary Public                                                                Notary Public

  (Seal)                                                                      (Seal)


My Commission expires:                                                      My Commission expires:

OHRC 113L 07-30-04                                                                                                                     PAGE 1 OF 1

				
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