Entry Confirmation - Please review the following information

Horse Information
Name:	Baileys in my Coffee	Height:	16.3	Birth Country:	usa
Breed:		Sire:		Year of Birth:	2005
Sex:	Mare	Dam:		Breeder:
Color:	Dark Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Leah Schneider	Leah Schneider	DAWN FRAZER	DAWN FRAZER
Address:		17 Bennett Street	17 Bennett Street	1 Yvonne Drive	1 Yvonne Drive
City/St/Zip:		Nashua, NH 03064	Nashua, NH 03064	PEPPERELL, MA 01463-1743	PEPPERELL, MA 01463-1743
Country:		usa	usa	usa	usa
Telephone:		(978) 764 -2477	(978) 764 -2477	978-727-6750	978-727-6750
E-mail:		leah_schneider89@yahoo.com	leah_schneider89@yahoo.com	dawnfrazer@charter.net	dawnfrazer@charter.net
Citizenship:		usa	usa
Rider Status:		Adult Amateur
				4014438	4014438
	1153071	238707	238707	51010	51010
Need Safe Sport:		No	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
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
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 6:04:39 AM	ACCEPTED:

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