Entry Confirmation - Please review the following information

Horse Information
Name:	Flora	Height:		Birth Country:
Breed:		Sire:		Year of Birth:
Sex:		Dam:		Breeder:
Color:		Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Stefanie Moses	Stefanie Moses	Stefanie Moses
Address:		57 Halls Village Rd	57 Halls Village Rd	57 Halls Village Rd
City/St/Zip:		Chester, NH 03036	Chester, NH 03036	Chester, NH 03036
Country:		usa	usa	usa
Telephone:		6035486010	6035486010	6035486010
E-mail:		moses@alum.mit.edu	moses@alum.mit.edu	moses@alum.mit.edu
Citizenship:		usa	usa
Rider Status:		Adult Amateur
		4029747	4029747	4029747
		2516	2516	2516
Need Safe Sport:		No	No	No
Need Signature:		No	No	No	No
Need Coggins:	Yes
Need Vaccines:	No
Need Parent Signature:				No
StallGroup:

Need List

Class	Day	Class Name	Test Name	Qual/Div	Need FS Doc	Amount

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount

Payments	Amount
(Refund)	$ -80.00
Paypal	$ 80.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 0.00	$ 0.00	$ 0.00	$ 0.00	$ 0.00	$ 0.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:45 AM	UPLOADED: SCRATCH 5/26, refunded $80.00 via EE

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