NAME:

ADDRESS:

PHONE:

E-MAIL:

EQUESTRIANS INSTITUTE NO.

I wish to attend the following
show as an:  (circle one)  AUDITOR or RIDER/PARTICIPANT to be held
at_______________________________ on (date) ___________________.

Name of clinician, show or event you wish to attend _____________________________________________

The cost of the entry/registration for this event is $_____________.  I am requesting a minimum amount of $_____.

Please describe the clinic/event/show you wish to attend below and why you feel it will be of value to you and/or your
horse.  How might this experience further your education in dressage or eventing in relation to problems you are
encountering with your current training?








Please describe how you plan to present your results or information gathered to the membership of WCDEA.  This may
include, but is not limited to, a written or oral report including visual presentation or mounted demonstration.  Video of a
ridden test at a show or of you working with a clinician or the clinician working with other riders if auditing and allowed by
the clinician, would be very helpful.
WCDEA LEG UP FUND
APPLICATION AND REQUEST FOR
FUNDS
Return to Leg Up Fund Purpose