Entry Confirmation - Please review the following information

Horse Information
Name: Apollo Height: 14 Birth Country:
Breed: Sire: Year of Birth: 2012
Sex: Gelding Dam: Breeder:
Color: Paint Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: Ava Ikemire Company Name Sea Star Stable Kara Riley-King Kara Riley-King
Address: 1 Blackford Drive 73 Middle Road 73 Middle Road 73 Middle Road
City/St/Zip: Exeter, NH 03833 Brentwood, NH 03833 Brentwood, NH 03833 Brentwood, NH 03833
Country: usa usa usa usa
Telephone: 504-255-6911 978-337-0627 978-337-0627 978-337-0627
E-mail: heatherikemire@gmail.com kara@seastarstable.com kara@seastarstable.com kara@seastarstable.com
Citizenship: usa
Rider Status: JR/YR
Need Safe Sport: No No No No
Need Signature: Yes Yes Yes Yes
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
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
Processing Fee $ 20.00 1 $ 20.00

Payments Amount
Paypal $ 50.00

Class Total Stable Fees Other Fees Total Fees Payments Amount Due
$ 30.00 $ 0.00 $ 20.00 $ 50.00 $ 50.00 $ 0.00

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

User Date / Time Notes
Secretary 5/31/2023 5:59:49 AM UPLOADED: Must submit NHDEA liability form

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Notes

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