Entry Confirmation - Please review the following information

Horse Information
Name:	WHOS YOUR SUGARDADDY	Height:	16.1	Birth Country:
Breed:	PAINT	Sire:	THE SUGAR DADDY	Year of Birth:	2018
Sex:	Gelding	Dam:	VAL WILL ROCK YA	Breeder:
Color:	BAY	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		FELICIA PANDELENA	FELICIA PANDELENA	FELICIA PANDELENA
Address:		4 Granite Ridge Rd	4 Granite Ridge Rd	4 Granite Ridge Rd
City/St/Zip:		ATKINSON, NH 03811-2464	ATKINSON, NH 03811-2464	ATKINSON, NH 03811-2464
Country:		usa	usa	usa
Telephone:		603-234-0733	603-234-0733	603-234-0733
E-mail:		fpandelena21@gmail.com	fpandelena21@gmail.com	fpandelena21@gmail.com
Citizenship:		usa	usa
Rider Status:		Open
	5848877	5152437	5152437	5152437
	1158516	168985	168985	168985
Need Safe Sport:		No	No	No
Need Signature:		Yes	Yes	Yes	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
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
Non-Member Fee (per class)	$ 15.00	1	$ 15.00
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount
Paypal	$ 95.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 60.00	$ 0.00	$ 35.00	$ 95.00	$ 95.00	$ 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: Must submit NHDEA liability form
Entrant	6/1/2023 5:13:30 AM	ACCEPTED:

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