Entry Confirmation - Please review the following information

Horse Information
Name:	VF Skylinca	Height:		Birth Country:
Breed:		Sire:		Year of Birth:
Sex:		Dam:		Breeder:
Color:		Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Hana Poulin	Kathleen Martin	Hana Poulin
Address:		103 Old Nottingham Road		103 Old Nottingham Road
City/St/Zip:		Epping, NH 03042	,	Epping, NH 03042
Country:		usa		usa
Telephone:		2072000308	505-944-5929	2072000308
E-mail:		hpoulin@alumni.unity.edu	kathleenm8410@gmail.com	hpoulin@alumni.unity.edu
Citizenship:
Rider Status:		Open
		5079497		5079497
		173669		173669
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
9	Sunday	USDF Intro Level, Test C	USDF Introductory Level, Test C 2023	No	No	$ 30.00

Stable Fees	Rate	Quantity	Amount

Other Fees	Rate	Quantity	Amount

Payments	Amount

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

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

User	Date / Time	Notes
Secretary	6/1/2023 4:26:39 PM	UPLOADED: wants into Intro B

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Notes