Entry Confirmation - Please review the following information

Horse Information
Name:	Dont Tell	Height:	15.2	Birth Country:	usa
Breed:	Hanovarian	Sire:		Year of Birth:	2012
Sex:	Mare	Dam:		Breeder:
Color:	Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Lucy Schreuer	Lucy Schreuer	Lucy Schreuer	Lucy Schreuer
Address:		35 Howlett Street	35 Howlett Street	35 Howlett Street	35 Howlett Street
City/St/Zip:		Topsfield, MA 01983	Topsfield, MA 01983	Topsfield, MA 01983	Topsfield, MA 01983
Country:		usa	usa	usa	usa
Telephone:		978-887-3623	978-887-3623	978-887-3623	978-887-3623
E-mail:		lschreuer@verizon.net	lschreuer@verizon.net	lschreuer@verizon.net	lschreuer@verizon.net
Citizenship:		usa	usa
Rider Status:		Open
	5268562	304145	304145	304145	304145
	1125346	156396	156396	156396	156396
Need Safe Sport:		No	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
25	Sunday	USEF Fourth Level, Test of Choice	Online Test Place Holder	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount
Paypal	$ 50.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 20.00	$ 50.00	$ 50.00	$ 0.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:46 AM	UPLOADED:

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