Entry Confirmation - Please review the following information

Horse Information
Name: A LITTLE TREAT Height: 13.3 Birth Country:
Breed: UNKNOWN Sire: UNKNOWN Year of Birth: 1995
Sex: Mare Dam: UNKNOWN Breeder:
Color: BAY Dams Sire: Passport #:

Information Horse Rider Owner Trainer Coach
Name: Ava Winsor Sydney Pellerin Ava Winsor
Address: 6 Cabot Road 8 oak ave 6 Cabot Road
City/St/Zip: Andover, MA 01810 Salem, NH 03079 Andover, MA 01810
Country: USA usa USA
Telephone: 6033033367 8609775813 6033033367
E-mail: jwinsor2819@gamil.com sydneyjpellerin@gmail.com jwinsor2819@gamil.com
Citizenship: usa
Rider Status: JR/YR
5839785 5838888
1157178 200829
Need Safe Sport: 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
6 Sunday Maiden USDF Intro Level, Test A USDF Introductory Level, Test A 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
Check $ 65.00

Class Total Stable Fees Other Fees Total Fees Payments Amount Due
$ 30.00 $ 0.00 $ 35.00 $ 65.00 $ 65.00 $ 0.00

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

User Date / Time Notes
Secretary 5/31/2023 5:59:52 AM UPLOADED: Must submit NHDEA liability form

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Notes

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