Entry Confirmation - Please review the following information

Horse Information
Name: Bobininda Boondocks Height: 15.2 Birth Country:
Breed: Sire: Strawberry Boon Year of Birth: 2009
Sex: Gelding Dam: Double R Lass McQue Breeder:
Color: Red Roan Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: Lindsay Robertson Lindsay Robertson Lindsay Robertson Hana Poulin
Address: 30 Fox Ridge Road 30 Fox Ridge Road 30 Fox Ridge Road 103 Old Nottingham Road
City/St/Zip: Epping, NH 03042 Epping, NH 03042 Epping, NH 03042 Epping, NH 03042
Country: usa usa usa usa
Telephone: 6032682212 6032682212 6032682212 2072000308
E-mail: Lindsay.Rose603@gmail.com Lindsay.Rose603@gmail.com Lindsay.Rose603@gmail.com hpoulin@alumni.unity.edu
Citizenship: usa usa
Rider Status: Adult Amateur
5854931 5853477 5853477 5853477 5079497
1145637 221487 221487 221487 173669
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
14 Sunday USEF Training Level, Test 3 USEF Training Level, Test 3 2023 No No $ 30.00
15 Sunday Maiden 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 $ 80.00

Class Total Stable Fees Other Fees Total Fees Payments Amount Due
$ 60.00 $ 0.00 $ 20.00 $ 80.00 $ 80.00 $ 0.00

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

User Date / Time Notes
Secretary 5/31/2023 5:59:45 AM UPLOADED:
Entrant 5/31/2023 6:13:29 AM ACCEPTED:
Secretary 6/1/2023 4:26:37 PM UPLOADED: SCRATCH 6/1
Entrant 6/1/2023 5:22:28 PM ACCEPTED:

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Notes

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