Entry Confirmation - Please review the following information

Horse Information
Name:	Wolfs Pure Chaos	Height:	15.3	Birth Country:
Breed:	Colorado Ranger Horse	Sire:	RW Pure Majick	Year of Birth:	2005
Sex:	Gelding	Dam:	My-T Expensive Lady	Breeder:
Color:	Red Roan	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Tess Murray	Delia MacDonald	Tess Murray
Address:		37 Summer st	24 Salem Street	37 Summer st
City/St/Zip:		Ipswich, MA 01938	Bradford, MA 01835	Ipswich, MA 01938
Country:		usa	usa	usa
Telephone:		978-356-1545	9782843432	978-356-1545
E-mail:		murray.tess@gmail.com	wolfmajick@gmail.com	murray.tess@gmail.com
Citizenship:		usa
Rider Status:
	5855540		5689210
	1146706		232838
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
16	Sunday	USEF First Level, Test 1	USEF First Level, Test 1 2023	No	No	$ 30.00
17	Sunday	USEF First Level, Test 2	USEF First Level, Test 2 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

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

Payments	Amount
Paypal	$ 80.00

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

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:48 AM	UPLOADED:
Entrant	5/31/2023 8:45:48 AM	ACCEPTED:

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