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Young Rider Education Reimbursement Request
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Last
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Address Line 2
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Volunteer hours of 6 MUST be completed before submitting form. Have you completed this requirement?
Yes
No
Horse's Name
Own or Lease?
Own
Lease
Other
Activity that You Attended
What did you gain from this activity?
Activity Details
How do you plan to share your experience with BREA members?
Board Meeting
Facebook video clip
Year End Award banquet presentation
Amount requested – (up to $200 per year)
Upload Proof of Payment
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Consent
By submitting this application, you are affirming that the above information is true and accurate.
