Entry Confirmation - Please review the following information

Horse Information
Name:	Dobby	Height:	14.2	Birth Country:
Breed:		Sire:		Year of Birth:	2005
Sex:	Gelding	Dam:		Breeder:
Color:	Chestnut	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Emerson Shapiro	Kara Riley-King	Sarah Falk	Sarah Falk
Address:		62 Kingston Rd	73 Middle Road	73 Middle Road	73 Middle Road
City/St/Zip:		Exeter, NH 03833	Brentwood, NH 03833	Brentwood, NH 03833	Brentwood, NH 03833
Country:		usa	usa	usa	usa
Telephone:		6037702963	978-337-0627	6039187192	6039187192
E-mail:		elizabethannshapiro@gmail.com	kara@seastarstable.com	sara@seastarstable.com	sara@seastarstable.com
Citizenship:		usa
Rider Status:		JR/YR
				198294	198294
Need Safe Sport:		No	No	No	No
Need Signature:		Yes	Yes	Yes	Yes
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
7	Sunday	USDF Intro Level, Test A	USDF Introductory Level, Test A 2023	No	No	$ 30.00
8	Sunday	USDF Intro Level, Test B	USDF Introductory Level, Test B 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 5:59:48 AM	UPLOADED: Must submit NHDEA liability form
Entrant	5/31/2023 6:19:15 AM	ACCEPTED:

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