Leo Conroy Equitation Application

Rider Name *

Email Address *

USEF #

Rider Address

Rider Phone

Finals Class Entered

Region in which you qualified

Trainer’s name

Trainer's USEF #

Trainer's Address

Trainer's Phone

Trainer's Email

Leo Conroy was a great supporter of the ASPCA Maclay and its riders – especially those who worked hard to qualify but did not have the means to support their talent.

Reference #1

Name

Address

Phone

Reference #2

Name

Address

Phone

Reference #3

Name

Address

Phone

ESSAY – PART 1: How have your equestrian experiences added to the development of your personal character? (250 words or less)

ESSAY – PART 2: rovide for a description of your basis for financial need (250 words or less)