Skip to content
BREABoard@gmail.com
Southwest Virginia
Home
About
Membership
Eventing
Events
Entry Stats
Times
Event Photographer
Results
Calendar
Year End Awards
Volunteer
News
Forms & Docs
Contact
Menu
Home
About
Membership
Eventing
Events
Entry Stats
Times
Event Photographer
Results
Calendar
Year End Awards
Volunteer
News
Forms & Docs
Contact
Iris Eppinger Dressage Clinic Registration
Rider Info
Membership
(Required)
None
BREA
SWVADA
Rider Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Horse Info
Horse Name
(Required)
Horse Gender
(Required)
Stallion
Mare
Gelding
Owner Same as Rider?
Yes
No
Owner Name
Entry
Private Flat Lesson
Quantity
BREA/SWVADA member discounts $15 for one, $20 for two or more - handled separately
Price:
$150.00
Quantity
Lesson Focus
What are you wanting to work on? Please explain below.
Day Preference
Check all that apply. We will try to schedule that day that works best for you.
Friday
Saturday
Sunday
Coggins
Coggins Date
(Required)
MM slash DD slash YYYY
Coggins Accession #
(Required)
If a coggins is not submitted electronically, you must bring a hard copy of the coggins to the show for the secretary to keep.
Coggins Upload
(Required)
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Waivers
Waivers can be found here:
USEA Waiver
BREA Waiver (print and email back)
BREA Waiver (complete & submit online)
For print waivers, click the link and print, then scan and attach below.
BREA Waiver Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
USEA Release Upload
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
Total
Accepted Payments:
Check, made out to “BREA”
Mail to (must be post dated June 24): Iris Eppinger Clinic Entry, ATTN: Casey Moyer 3199 Bradshaw Road, Elliston, VA 24087
Cash/check day of clinic
Notes to Organizer