THE ESSEX HORSE TRIALS GRANT APPLICATION

ADMINISTERED BY THE USEA FOUNDATION
For riders 18-25-years-of-age competing at the CCI4*-S level in the current year
(Please complete this form and upload your competition video links by October 15th)

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

USEA Membership #

Email Address

Mobile Phone #

(###)

###

####

Home Phone #

(###)

###

####

Current Instructor

Eventing Experience (Career Highlights):

Prior Grants Received (If any)

Horse #1 Name

Horse #1 Owner

Horse #1 USEA#

Horse #1 Breed

Horse #1 Age

Horse #1 Fall competitions you have entered or plan to enter:

Please upload links to videos of you and your horse(s) competing in all three phases: Dressage, Cross-country and Jumping from January-August of the current year. (Additional links to Fall competition videos are also welcome after the competitions.)

1st link:

http://

Additional Links

2nd link:

http://

Horse #1 Competition Plans for Next Year:

Horse #2 Name

Horse #2 Owner

Horse #2 USEA#

Horse #2 Breed

Horse #2 Age

Horse #2 Fall competitions you have entered or plan to enter:

1st link:

http://

Additional Links

2nd links:

http://

Horse #2 Competition Plans for Next Year:

Applicant Signature

(By typing your name here you agree that you are signing this document.)

Date

YYYY

(Please complete this form and upload your competition video links by October 15th)

THE ESSEX HORSE TRIALS GRANT APPLICATION

ADMINISTERED BY THE USEA FOUNDATIONFor riders 18-25-years-of-age competing at the CCI4*-S level in the current year(Please complete this form and upload your competition video links by October 15th)

ADMINISTERED BY THE USEA FOUNDATION
For riders 18-25-years-of-age competing at the CCI4*-S level in the current year
(Please complete this form and upload your competition video links by October 15th)