Entry Confirmation - Please review the following information

Horse Information
Name:	Neo	Height:	16.0	Birth Country:
Breed:	Thoroughbred	Sire:		Year of Birth:
Sex:	Gelding	Dam:		Breeder:
Color:	Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Marilyn Gaudet Cacciola		Marilyn Gaudet Cacciola
Address:		200 Mystic Valley Parkway		200 Mystic Valley Parkway
City/St/Zip:		Winchester, MA 01890		Winchester, MA 01890
Country:		USA		USA
Telephone:		6174173279		6174173279
E-mail:		marilyncacciola@gmail.com		marilyncacciola@gmail.com
Citizenship:
Rider Status:
Need Safe Sport:		No		No
Need Signature:		Yes	Yes	Yes	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
11	Sunday	USEF Training Level, Test 1	USEF Training 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	5/31/2023 5:59:50 AM	UPLOADED: Must submit NHDEA liability form
Entrant	5/31/2023 4:37:06 PM	REJECTED: Training level Test 1 is what it should read/ also sent coggins test to Kat
Secretary	6/1/2023 4:26:38 PM	UPLOADED: Must submit NHDEA liability form

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Notes