LTR Fee Assistance Request Form                                                    Loudoun therapeutic riding                                       

LTR Fee Schedule:
 Lessons are billed in increments of six weeks ($393.75)
* Please note that each participant is required to pay a minimum of $50/6 weeks.

By Submitting this application, I affirm the facts set forth in it are true and complete.

Thank you for completing the Fee Assistance Request Form.