Entry Confirmation - Please review the following information

Horse Information
Name: ZOES HIDDEN TREASURE Height: 17.1 Birth Country:
Breed: THOROUGHBRED CROSS Sire: UNKNOWN Year of Birth: 2009
Sex: Mare Dam: UNKNOWN Breeder:
Color: BAY Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: ISABELLA SAFRAN ISABELLA SAFRAN Crystal Little Crystal Little
Address: 21 Oakland Ave 21 Oakland Ave 62 Meditation Ln. 62 Meditation Ln.
City/St/Zip: SAUGUS, MA 01906-3229 SAUGUS, MA 01906-3229 Atkinson, NH 03811 Atkinson, NH 03811
Country: usa usa usa usa
Telephone: 617-840-9544 617-840-9544 603-953-4243 603-953-4243
E-mail: Minniemama@ymail.com Minniemama@ymail.com derbytalk@yahoo.com derbytalk@yahoo.com
Citizenship:
Rider Status: JR/YR
5843548 5811499 5811499 4887551 4887551
1157842 239833 239833 130908 130908
Need Safe Sport: No No No No
Need Signature: Yes Yes Yes Yes
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) $ -50.00
Paypal $ 50.00

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: Scratched class 111, 5/25

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Notes

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