Entry Confirmation - Please review the following information

Horse Information
Name:	Demeter	Height:	16.2	Birth Country:	usa
Breed:	Oldenburg	Sire:	Don De Marco	Year of Birth:	2016
Sex:	Mare	Dam:	I Dont Care Anymore	Breeder:	Monica Mattson
Color:	Black	Dams Sire:	Get Me Out	Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Winifred Krogman	Winifred Krogman	Winifred Krogman
Address:		89 Everett Dam Rd	89 Everett Dam Rd	89 Everett Dam Rd
City/St/Zip:		Dunbarton, NH 03046	Dunbarton, NH 03046	Dunbarton, NH 03046
Country:		usa	usa	usa
Telephone:		603-774-8522	603-774-8522	603-774-8522
E-mail:		krogmanfamily@gsinet.net	krogmanfamily@gsinet.net	krogmanfamily@gsinet.net
Citizenship:		usa	usa
Rider Status:		Adult Amateur
	5735456	5463043	5463043	5463043
	1125893	204705	204705	204705
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
16	Sunday	USEF First Level, Test 1	USEF First Level, Test 1 2023	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 5:59:48 AM	UPLOADED:
Entrant	6/1/2023 7:05:15 PM	ACCEPTED:

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