Entry Confirmation - Please review the following information

Horse Information
Name:	My Little Pony	Height:	14.1	Birth Country:
Breed:	Welsh Cob	Sire:		Year of Birth:	2011
Sex:	Mare	Dam:		Breeder:
Color:	Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Melody Mass	Channa Gorton	Melody Mass
Address:		53 North Policy Street		53 North Policy Street
City/St/Zip:		Salem, NH 03074	,	Salem, NH 03074
Country:		USA		USA
Telephone:
E-mail:		Glitteringmuscles21@yahoo.com	Glitteringmuscles21@yahoo.com	Glitteringmuscles21@yahoo.com
Citizenship:
Rider Status:
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
3	Sunday	Dressage Seat Equitation Walk/Trot Only	USEF Dressage Seat Equitation	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
NHDEA Membership	$ 43.00	1	$ 43.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 60.00	$ 0.00	$ 63.00	$ 123.00	$ 0.00	$ 123.00

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

User	Date / Time	Notes
Secretary	5/31/2023 9:24:44 AM	UPLOADED:
Entrant	5/31/2023 9:27:04 AM	ACCEPTED:
Entrant	5/31/2023 9:29:46 AM	ACCEPTED:

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Notes