Entry Confirmation - Please review the following information

Horse Information
Name:	A LITTLE TREAT	Height:	13.3	Birth Country:
Breed:	UNKNOWN	Sire:	UNKNOWN	Year of Birth:	1995
Sex:	Mare	Dam:	UNKNOWN	Breeder:
Color:	BAY	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Sydney Pellerin	Sydney Pellerin	Crystal Little	Crystal Little
Address:		8 oak ave	8 oak ave	62 Meditation Ln.	62 Meditation Ln.
City/St/Zip:		Salem, NH 03079	Salem, NH 03079	Atkinson, NH 03811	Atkinson, NH 03811
Country:		usa	usa	usa	usa
Telephone:		8609775813	8609775813	603-953-4243	603-953-4243
E-mail:		sydneyjpellerin@gmail.com	sydneyjpellerin@gmail.com	derbytalk@yahoo.com	derbytalk@yahoo.com
Citizenship:		usa	usa
Rider Status:		Adult Amateur
	5839785	5838888	5838888	4887551	4887551
	1157178	200829	200829	130908	130908
Need Safe Sport:		No	No	No	No
Need Signature:		Yes	Yes	Yes	Yes
Need Coggins:	No
Need Vaccines:	No
Need Parent Signature:				No
StallGroup:

Need List

Class	Day	Class Name	Test Name	Qual/Div	Need FS Doc	Amount
14	Sunday	USEF Training Level, Test 3	USEF Training Level, Test 3 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount
Paypal	$ 50.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 20.00	$ 50.00	$ 50.00	$ 0.00

Memo
Complete entries must include NHDEA waiver and 12-month coggins!

User	Date / Time	Notes
Secretary	5/31/2023 5:59:49 AM	UPLOADED: Must submit NHDEA liability form
Entrant	6/1/2023 3:17:53 AM	ACCEPTED:

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