Entry Confirmation - Please review the following information

Horse Information
Name:	The Pied Piper	Height:	14.2	Birth Country:
Breed:	Welsh x	Sire:		Year of Birth:
Sex:	Mare	Dam:		Breeder:
Color:	Black	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Amanda Flanigan		Amanda Flanigan
Address:		7 Pine Hill Road		7 Pine Hill Road
City/St/Zip:		Hollis, NH 03049		Hollis, NH 03049
Country:		Usa		Usa
Telephone:		9782044017		9782044017
E-mail:		SCHOLAR594@AOL.COM		SCHOLAR594@AOL.COM
Citizenship:
Rider Status:
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
12	Sunday	USEF Training Level, Test 2	USEF Training Level, Test 2 2023	No	No	$ 30.00
14	Sunday	USEF Training Level, Test 3	USEF Training Level, Test 3 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
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
$ 60.00	$ 0.00	$ 50.00	$ 110.00	$ 0.00	$ 110.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:50 AM	UPLOADED:
Entrant	5/31/2023 7:14:28 AM	ACCEPTED:
Entrant	5/31/2023 7:15:24 AM	ACCEPTED:

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