Entry Confirmation - Please review the following information

Horse Information
Name:	September Dawn	Height:	14.1	Birth Country:
Breed:	Morgan Cross	Sire:		Year of Birth:	2004
Sex:	Mare	Dam:		Breeder:
Color:	Chesnut	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Kaelyn Cooper	Kaelyn Cooper	JENNIFER COOPER	Kara Riley-King
Address:		211 Pickpocket Rd	211 Pickpocket Rd	211 Pickpocket Rd	73 Middle Road
City/St/Zip:		Brentwood, NH 03833-6407	Brentwood, NH 03833-6407	Brentwood, NH 03833-6407	Brentwood, NH 03833
Country:		usa	usa	usa	usa
Telephone:		7202564769	7202564769	7202564769	978-337-0627
E-mail:		jencooper75@gmail.com	jencooper75@gmail.com	jencooper75@gmail.com	kara@seastarstable.com
Citizenship:		usa	usa
Rider Status:		JR/YR
				5755798
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
12	Sunday	USEF Training Level, Test 2	USEF Training Level, Test 2 2023	No	No	$ 30.00
14	Sunday	USEF Training Level, Test 3	USEF Training Level, Test 3 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 5:59:47 AM	UPLOADED:
Entrant	5/31/2023 6:19:55 AM	ACCEPTED:

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