Entry Confirmation - Please review the following information

Horse Information
Name:	Lunar Eclipse	Height:		Birth Country:
Breed:	Appaloosa X	Sire:		Year of Birth:	2004
Sex:	Mare	Dam:		Breeder:
Color:	Black	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Gianna Calabro	Emily Sumner	Gianna Calabro
Address:		117 Kemp Street	280 Reed Rd	117 Kemp Street
City/St/Zip:		Groton, MA 01450	Mason, NH 03048	Groton, MA 01450
Country:		USA	USA	USA
Telephone:		9786608187	978.855.2693	9786608187
E-mail:			ejsumner@gmail.com
Citizenship:			USA
Rider Status:
			4566261
			101209
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
11	Sunday	USEF Training Level, Test 1	USEF Training Level, Test 1 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Non-Member Fee (per class)	$ 15.00	1	$ 15.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 35.00	$ 65.00	$ 0.00	$ 65.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:50 AM	UPLOADED:

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