Entry Confirmation - Please review the following information

Horse Information
Name:	ZOES HIDDEN TREASURE	Height:	17.1	Birth Country:
Breed:	THOROUGHBRED CROSS	Sire:	UNKNOWN	Year of Birth:	2009
Sex:	Mare	Dam:	UNKNOWN	Breeder:
Color:	BAY	Dams Sire:		Passport #:

Information	Horse	Rider	Owner	Trainer	Coach
Name:		Mathieu Martinez	ISABELLA SAFRAN	Crystal Little	Crystal Little
Address:		220 Newton Rd.	21 Oakland Ave	62 Meditation Ln.	62 Meditation Ln.
City/St/Zip:		Haverhill, MA 01830	SAUGUS, MA 01906-3229	Atkinson, NH 03811	Atkinson, NH 03811
Country:		USA	usa	usa	usa
Telephone:		978-457-5017	617-840-9544	603-953-4243	603-953-4243
E-mail:		mattalto99@gmail.com	Minniemama@ymail.com	derbytalk@yahoo.com	derbytalk@yahoo.com
Citizenship:		USA
Rider Status:		Adult Amateur
	5843548	5807453	5811499	4887551	4887551
	1157842		239833	130908	130908
Need Safe Sport:		No	No	No	No
Need Signature:		Yes	Yes	Yes	Yes
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
Processing Fee	$ 20.00	1	$ 20.00

Payments	Amount
Paypal	$ 50.00

Class Total	Stable Fees	Other Fees	Total Fees	Payments	Amount Due
$ 30.00	$ 0.00	$ 20.00	$ 50.00	$ 50.00	$ 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
Secretary	6/1/2023 4:26:38 PM	UPLOADED: SCRATCH 6/1

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