Entry Confirmation - Please review the following information

Horse Information
Name:	FGF Logan's Run	Height:	15.2	Birth Country:
Breed:	Paint	Sire:		Year of Birth:
Sex:	Gelding	Dam:		Breeder:
Color:	Black and white	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Nikki Delude Roy	Nikki Delude Roy	Nikki Delude Roy
Address:
City/St/Zip:		,	,	,
Country:
Telephone:		603-247-3296	603-247-3296	603-247-3296
E-mail:		nikkiroy13@gmail.com	nikkiroy13@gmail.com	nikkiroy13@gmail.com
Citizenship:
Rider Status:		Open
Need Safe Sport:		No	No	No
Need Signature:		Yes	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
20	Sunday	USEF Second Level, Test 2	USEF Second Level, Test 2 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
Post Entry Fee	$ 25.00	1	$ 25.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 60.00	$ 90.00	$ 0.00	$ 90.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:52 AM	UPLOADED: Late add, needs to submit all paperwork
Entrant	5/31/2023 6:53:29 AM	ACCEPTED:
Secretary	5/31/2023 8:55:47 AM	UPLOADED:
Entrant	5/31/2023 10:59:27 AM	ACCEPTED:
Secretary	6/3/2023 2:52:38 PM	UPLOADED: SCRATCH 6/3

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