Entry Confirmation - Please review the following information

Horse Information
Name: Crimson Height: Birth Country:
Breed: Quarter Horse X Sire: Year of Birth: 2007
Sex: Mare Dam: Breeder:
Color: Chestnut Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: Emily Sumner Contry Hill Farm Emily Sumner
Address: 280 Reed Rd 280 Reed Road 280 Reed Rd
City/St/Zip: Mason, NH 03048 Mason, NH 03048 Mason, NH 03048
Country: USA USA USA
Telephone: 978.855.2693 978.855.2693
E-mail: ejsumner@gmail.com ejsumner@gmail.com
Citizenship: USA
Rider Status: Open
4566261 4566261
101209 101209
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
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
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 5:59:50 AM UPLOADED:
Secretary 5/31/2023 8:55:47 AM UPLOADED:
Entrant 6/1/2023 8:38:50 AM ACCEPTED:

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Notes

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