Please complete the following fields to request an application. Thank you for your interest in the Kees Brenninkmeyer Foundation.



    Phone Number

    Mailing Address

    Street Address

    Injury Description

    Have you seen a physician regarding this injury?

    Career Type

    Career Description

    Medical Insurance

    Do you have or anticipate future access to crowd funding or other fundraising platforms?

    How were you informed about the foundation?

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    Featured Testimonial

    "As a full-time mountain guide, I’ve lived life on the financial edge for as long as I can remember, always thinking I’d get ahead eventually. Becoming a fully certified (IFMGA) mountain guide was one of the best career choices I’ve made, though it put me in significant debt. The moment I injured my knee I knew I was in trouble as I was looking at a minimum of 6 months without work (and the reality has actually been 9 months out of work). Thanks to my husband’s job I do have health insurance but I’m grateful that the KBF stepped in to cover all of my deductible, out-of -pocket expenses, and 6 months of physical therapy — not insignificant expenses! Without this invaluable assistance, I would have been forced into even greater debt and likely would have had to reconsider my career as a guide. The existence of the Kees Brenninkmeyer Foundation is a huge beacon of light for those of us who end up injured in a career that demands a healthy body but often at a wage that doesn’t allow room for error. "

    - Emilie Drinkwater

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