Entry Confirmation - Please review the following information

Horse Information
Name:	Prince Jester's Request	Height:		Birth Country:
Breed:	Missouri Fox Trotter	Sire:		Year of Birth:
Sex:	Gelding	Dam:		Breeder:
Color:	Chestnut	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Julie Dillon	Julie Dillon	Julie Dillon
Address:		47 Gilman Hill Rd	47 Gilman Hill Rd	47 Gilman Hill Rd
City/St/Zip:		Mason, NH 03048	Mason, NH 03048	Mason, NH 03048
Country:		USA	USA	USA
Telephone:		603.289.1174	603.289.1174	603.289.1174
E-mail:		horsefeathersnh@gmail.com	horsefeathersnh@gmail.com	horsefeathersnh@gmail.com
Citizenship:
Rider Status:		Open
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

Stable Fees	Rate	Quantity	Amount

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

Payments	Amount
Check	$ 50.00

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

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

User	Date / Time	Notes
Secretary	5/31/2023 5:59:51 AM	UPLOADED: SCRATCH 5/30

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