Entry Confirmation - Please review the following information

Horse Information
Name:	WILD NOVELLA R	Height:	16.1	Birth Country:
Breed:	HANOVERIAN	Sire:	WILD DANCE	Year of Birth:	2013
Sex:	Mare	Dam:	DONNA NOVELLA	Breeder:	EDGAR & SUSAN SCHUTTE
Color:	CHESTNUT	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		ERIN COSGROVE	ERIN COSGROVE	ERIN COSGROVE
Address:		6 Pevear Lane	6 Pevear Lane	6 Pevear Lane
City/St/Zip:		Hampton Falls, NH 03844	Hampton Falls, NH 03844	Hampton Falls, NH 03844
Country:		usa	usa	usa
Telephone:		603-929-1645	603-929-1645	603-929-1645
E-mail:		erin.cosgrove@gmail.com	erin.cosgrove@gmail.com	erin.cosgrove@gmail.com
Citizenship:		usa	usa
Rider Status:		Adult Amateur
	5311630	5261573	5261573	5261573
	1134768	163436	163436	163436
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
7	Sunday	USDF Intro Level, Test A	USDF Introductory Level, Test A 2023	No	No	$ 30.00
8	Sunday	USDF Intro Level, Test B	USDF Introductory Level, Test B 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	$ 80.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 60.00	$ 0.00	$ 20.00	$ 80.00	$ 80.00	$ 0.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:46 AM	UPLOADED:
Entrant	5/31/2023 8:57:13 AM	ACCEPTED:

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