Entry Confirmation - Please review the following information

Horse Information
Name:	Happy-Stroma	Height:		Birth Country:
Breed:		Sire:		Year of Birth:
Sex:		Dam:		Breeder:
Color:		Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Crystal Little	JESSICA BATCHELDER	Crystal Little
Address:		62 Meditation Ln.	270 Kennedy Hill Rd.	62 Meditation Ln.
City/St/Zip:		Atkinson, NH 03811	GOFFSTOWN, NH 03045-2318	Atkinson, NH 03811
Country:		usa	usa	usa
Telephone:		603-953-4243	617-285-1160	603-953-4243
E-mail:		derbytalk@yahoo.com	jlbatch88@gmail.com	derbytalk@yahoo.com
Citizenship:
Rider Status:		Open
		4887551	5806316	4887551
		130908	239530	130908
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
19	Sunday	USEF Second Level, Test 1	USEF Second Level, Test 1 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
$ 30.00	$ 0.00	$ 20.00	$ 50.00	$ 0.00	$ 50.00

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

User	Date / Time	Notes
Secretary	6/1/2023 4:26:39 PM	UPLOADED: Nds all entry paperwork

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