Entry Confirmation - Please review the following information

Horse Information
Name:	A Gift From the Stars	Height:	14.2	Birth Country:
Breed:	Quarter Horse X	Sire:		Year of Birth:
Sex:	Mare	Dam:		Breeder:
Color:	Red Dun	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Lacie Bowman		Lacie Bowman
Address:		339 Main St		339 Main St
City/St/Zip:		Plaistow, NH 03865		Plaistow, NH 03865
Country:		usa		usa
Telephone:		6039742751		6039742751
E-mail:		mablmomof4@gmail.com		mablmomof4@gmail.com
Citizenship:		usa
Rider Status:		JR/YR
		5742990		5742990
		234300		234300
Need Safe Sport:		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
7	Sunday	USDF Intro Level, Test A	USDF Introductory Level, Test A 2023	No	No	$ 30.00
9	Sunday	USDF Intro Level, Test C	USDF Introductory Level, Test C 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount

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

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:49 AM	UPLOADED:

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