150-Day Layoff Report - Aqueduct, Belmont, Saratoga

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Trainers must complete this form for any horse that has not raced for 150 days or more. The form will be submitted to Dr. Sarah Hinchliffe, shinchliffe@nyrainc.com, prior to entry. The form must be completed and submitted a minimum of 14 days* before entry, and is valid for 60 days from the date of submission. This does not apply to first-time starters. *This requirement may be waived by Dr. Hinchliffe.

Horse Name/Tattoo or Microchip #: *

Date of Last Race: *

YYYY

Track of Last Race: *

Planned Date of Entry: *

YYYY

Planned Track of Entry: *

Owner:

Owner Phone/Email:

Trainer: *

Traîner Phone/Email: *

Primary Veterinarian: *

Primary Veterinarian Phone/Email: *

How long has this horse been in your care? *

(if less than 30 days) Previous Trainer:

Previous Trainer Phone/Email:

Specify Reason For Layoff *

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