Entry Confirmation - Please review the following information

Horse Information
Name:	Sir Harry Flashman	Height:		Birth Country:
Breed:	Quarter Horse	Sire:		Year of Birth:	2009
Sex:	Gelding	Dam:		Breeder:
Color:	Black	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Julianna Higgins	Julie Higgins	Julianna Higgins
Address:		29 Draw Road	29 Draw Road	29 Draw Road
City/St/Zip:		Derry, NH 03038	Derry, NH 03038	Derry, NH 03038
Country:		USA	USA	USA
Telephone:		6037701028	6037701028	6037701028
E-mail:		Legupequinemassage@outlook.com		Legupequinemassage@outlook.com
Citizenship:
Rider Status:
Need Safe Sport:		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

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
$ 0.00	$ 0.00	$ 20.00	$ 20.00	$ 0.00	$ 20.00

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

User	Date / Time	Notes
Secretary	6/1/2023 4:26:38 PM	UPLOADED: Scratch via email 5/31

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