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Volunteer Application
Your Name
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Your Preferred Phone Number
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Your Preferred Email
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Date of Birth (mm/dd/yyyy)
Parent/Guardian Name
Parent/Guardian Phone
In case of emergency, please contact:
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Emergency Medical Information
Please list all pertinent medical information (allergies, medications being taken or medical conditions). THIS IS INFORMATION TO BE SHARED WITH EMERGENCY PERSONNEL IF YOU ARE UNABLE TO ANSWER QUESTIONS YOURSELF.
Volunteer Reference
Reference's Name
Phone Number
Email
Please check day(s) and time(s) available:
Monday
Morning
Afternoon
After School
Evening
Tuesday
Morning
Afternoon
After School
Evening
Wednesday
Morning
Afternoon
After School
Evening
Thursday
Morning
Afternoon
After School
Evening
Friday
Morning
Afternoon
After School
Evening
Saturday
Morning
Afternoon
After School
Evening
Do you hope to obtain Community Service Hours for high school graduation from your experience at CARD?
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No
Yes
Past Experience
Do you have any experience with horses?
Casual/Trail rides
Grooming only
Regular lessons
Competition
Part-boarding/Ownership
If yes, explain briefly:
Do you have experience working with children or adults with disabilities?
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No
Yes
If yes, explain briefly:
How did you hear about CARD?
Job board
Friend/family
Website
If Other, please specify:
Participation Safety Barriers
Additional Information: Please indicate if any of the following apply to you, as they can be safety issues in an equine environment depending on how and when they occur. We will reach out to you for further details to understand your specific situation and needs.
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Mobility/balance issues on uneven terrain
Hearing Impairment/hard of hearing
Processing delays (you cannot understand and respond to directions quickly)
English as a second language
Physical Fitness (unable to maintain a steady walk for 60mins)
None of the above
Confidentiality Agreement
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I agree to respect and observe the privacy and confidentiality of the CARD participants and not to discuss or disclose personal information about clients or their family. I understand that violating this agreement may result in termination as a volunteer with CARD.
Photo, Website & Social Media Consent and Release
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I grant permission to CARD/ their authorized agents and assigns to take/use and reproduce still or video photography of myself/ my child or ward for the purpose of instruction/ publication in scientific journals and for any other use for the benefit of CARD. I release all claims on behalf of myself/ my heirs/ executors/ administrators and assigns for the use and reproduction of any still or video photography taken and used aforesaid.
Volunteer Liability Release
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As a volunteer at CARD I acknowledge the risks and potential for risks in an equestrian program. I feel that the possible benefits to me and the clients I work with are greater than the risk assumed. On behalf of myself/ my heirs/ executors/ administrators and assigns I waive and release forever all claims for damages against CARD/ its agents and assigns for any and all injuries and/or losses I may sustain while participating in the CARD program.
Release of Information
I hereby give permission for the information on CARD’s Volunteer Application to be stored and used for CARD’s purposes. I understand that the information will be used for direct mailing and emailing.
Commitment Agreement
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By submitting this application I am committing to attend my scheduled timeslot every week for the duration of the term. I understand this is a commitment of 2-4hrs per week and will last for 8-11 weeks.
Your Name
Your Preferred Phone Number
Your Preferred Email
Date of Birth (mm/dd/yyyy)
Parent/Guardian Name
Parent/Guardian Phone
In case of emergency, please contact:
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Emergency Medical Information
Please list all pertinent medical information (allergies, medications being taken or medical conditions). THIS IS INFORMATION TO BE SHARED WITH EMERGENCY PERSONNEL IF YOU ARE UNABLE TO ANSWER QUESTIONS YOURSELF.
Volunteer Reference
Reference's Name
Phone Number
Email
Please check day(s) and time(s) available:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Do you hope to obtain Community Service Hours for high school graduation from your experience at CARD?
Past Experience
Do you have any experience with horses?
If yes, explain briefly:
Do you have experience working with children or adults with disabilities?
If yes, explain briefly:
How did you hear about CARD?
If Other, please specify:
Participation Safety Barriers
Additional Information: Please indicate if any of the following apply to you, as they can be safety issues in an equine environment depending on how and when they occur. We will reach out to you for further details to understand your specific situation and needs.
Confidentiality Agreement
Photo, Website & Social Media Consent and Release
Volunteer Liability Release
Release of Information
Commitment Agreement
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