Entry Confirmation - Please review the following information

Horse Information
Name:	Bocephus For President	Height:	16.3	Birth Country:
Breed:	Quarter Horse	Sire:		Year of Birth:
Sex:	Gelding	Dam:		Breeder:
Color:	Bay	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Pam Chasse	Pam Chasse	Pam Chasse
Address:		65 Snow Pond Rd	65 Snow Pond Rd	65 Snow Pond Rd
City/St/Zip:		Concord, NH 03301	Concord, NH 03301	Concord, NH 03301
Country:		USA	USA	USA
Telephone:		603-848-6540	603-848-6540	603-848-6540
E-mail:		chassepam1@comcast.net	chassepam1@comcast.net	chassepam1@comcast.net
Citizenship:
Rider Status:		Open
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
27	Sunday	Western Dressage Test of Choice	WDAA Level 2 Test 1 2022	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount
Non-Member Fee (per class)	$ 15.00	1	$ 15.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount
Check	$ 65.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 35.00	$ 65.00	$ 65.00	$ 0.00

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:49 AM	UPLOADED:
Entrant	5/31/2023 6:45:48 AM	ACCEPTED: Hi! I sent copies of the waiver and coggins with my entry but will bring copies to the show too. Let me know if that is ok. Thanks! Pam

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