Entry Confirmation - Please review the following information

Horse Information
Name:	Shezashowgirl	Height:		Birth Country:
Breed:	Hanovarian	Sire:		Year of Birth:	2010
Sex:	Mare	Dam:		Breeder:
Color:	Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Claire Smith	Claire Smith	Claire Smith
Address:		15 Stillwater Circle	15 Stillwater Circle	15 Stillwater Circle
City/St/Zip:		Salem, NH 03079	Salem, NH 03079	Salem, NH 03079
Country:		USA	USA	USA
Telephone:		603.845.9126	603.845.9126	603.845.9126
E-mail:		clairesmith100610@gmail.com	clairesmith100610@gmail.com	clairesmith100610@gmail.com
Citizenship:
Rider Status:		Open
	5835398
	1156851
		140	140	140
Need Safe Sport:		No	No	No
Need Signature:		No	No	No	No
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
16	Sunday	USEF First Level, Test 1	USEF First Level, Test 1 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Non-Member Fee (per class)	$ 15.00	2	$ 30.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 60.00	$ 0.00	$ 50.00	$ 110.00	$ 0.00	$ 110.00

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

User	Date / Time	Notes
Secretary	6/1/2023 4:26:38 PM	UPLOADED: Nds entry paperwork

	Please enter a message to post to the entrant. Please enter the notes for the entrant. Limited to 490 character.
Notes