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Volunteer Application
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)
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?
-
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?
-
No
Yes
If yes, explain briefly:
Physical Limitations
Volunteering in the classes at CARD are not suitable for people with mobility issues. Program volunteers either lead the horse or walk beside the horse to assist the rider for up to one hour per lesson. Do you have any physical limitations that would make this difficult for you?
-
No
Yes
If yes, explain briefly:
How did you hear about CARD?
Job board
Friend/family
Website
If Other, please specify:
Confidentiality Agreement
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
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
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.
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)
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:
Physical Limitations
Volunteering in the classes at CARD are not suitable for people with mobility issues. Program volunteers either lead the horse or walk beside the horse to assist the rider for up to one hour per lesson. Do you have any physical limitations that would make this difficult for you?
If yes, explain briefly:
How did you hear about CARD?
If Other, please specify:
Confidentiality Agreement
Photo, Website & Social Media Consent and Release
Volunteer Liability Release
Release of Information
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