Entry Confirmation - Please review the following information

Horse Information
Name: Avant Garde Height: 16 Birth Country:
Breed: CLYDESDALE/QUARTER HORSE Sire: UNKNOWN Year of Birth: 2008
Sex: Mare Dam: UNKNOWN Breeder:
Color: BLACK Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: Christina Bamford DAWN BRUNEAU Christina Bamford
Address: 28 Epping Street 305 Salem St 28 Epping Street
City/St/Zip: Lowell, MA 01852 BRADFORD, MA 01835-7622 Lowell, MA 01852
Country: USA usa USA
Telephone: 9783192116 978-476-6858 9783192116
E-mail: christina.bamford@gmail.com bruneaudawn@gmail.com christina.bamford@gmail.com
Citizenship: usa
Rider Status:
5690053 5398840
1145275 205249
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
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
Check $ 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 5:59:51 AM UPLOADED:

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Notes

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