Name
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First Name
Last Name
Date of birth
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MM
DD
YYYY
Age
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Email
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Primary phone
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What type of phone is your primary phone
Secondary phone (Optional)
(###)
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Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Emergency Contact
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Please enter the name of who we can get in touch with should there be an emergency
First Name
Last Name
Emergency Contact
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Please enter the phone number that they are most likely to be reached at
(###)
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Previous and Current Volunteer Experience:
Qualifications and Certifications (if applicable) - ex: coaching, First Aid, Life Guard etc.)
Availability
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Please indicate the days of the week that you are available to volunteer.
Areas of Interest
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Please check all areas that you are interested in volunteering for. Note that not all of these positions require previous horse handling experience.
Additional Skills, hobbies or assets
If you have a special skill, hobby or asset that you think would be of benefit, please provide a brief description:
How did you hear about Sarah Parks Horsemanship?
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Please share why you would like to volunteer with us:
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Do you have a valid Driver's License?
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If applicable, please describe your current health status, regarding the physical and emotional demands particular to working on a farm, off-site at events, and engaging with children’s riding programs. Ex. fitness, cardiac, respiratory, bone or joint function, recent hospitalization/surgeries, or any significant lifestyle changes.
Allergies (if any, please describe)
Medications (If applicable, please describe)
Do you carry an EPI-Pen?
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Have you ever been convicted of a crime
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If yes or not sure, please provide details:
Sarah Parks Horsemanship may periodically take photographs or video during sessions and events for the purpose of sharing through photo albums, social media, or for the purposes of promotional material and/or public relations. Please indicate your permission for the above purposes by checking one of the following:
CONFIDENTIALITY AGREEMENT
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I fully understand each person’s right to have information concerning them treated in confidence. I also fully understand that specific information will only be shared when deemed appropriate and it will always be done with dignity and respect for that person and that I am to avoid unnecessary conversation regarding others and their affairs.
CODE OF ETHICS AGREEMENT
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I understand and respect that courtesy and dignity are integral to my duties as a volunteer. I also understand and agree to keep all the principles of the Code of Ethics and I further understand that violation of this agreement in any way may result in my dismissal as a volunteer with Sarah Parks Horsemanship.
ADULT RELEASE OF LIABILITY
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Every Person must Read and Understand this form before Participating in Equine Activities. To Sarah Parks Horsemanship, their directors, employees, officers, volunteers, business operators, and site property owners. (all of them collectively called the HOST) Check each item below after reading and understanding the item.
Risks and Dangers
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I understand there are Inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these “RISKS” are a common occurrence.
Risks and Dangers Continued
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I Acknowledge that the Inherent “RISKS” of Equine Activities mean those DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to:
The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects.
The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine.The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, people, or objects.
The unpredictability of an equine’s reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
The potential for other participant (s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine. * the potential of natural or man-made hazards being present that can cause me harm, including communicable disease*
Responsibility
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I Freely Accept and Fully Assume All Responsibility for the Inherent “RISKS” and the possibility of personal injury, death, property damage or loss which might result from the infant being a Participant.
Sole Responsibility
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I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate Within My Own Limits. *
In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree: • To Waive All Claims that I might have against the “HOST”; and • To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and • To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.
Volunteer Termination
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Sarah Parks Horsemanship is committed to providing our participants, volunteers and staff involved in our programs with a positive experience.
I understand that SPH may, at its sole discretion, terminate this Agreement, and limit, suspend, or terminate a volunteer’s participation if the volunteer becomes disruptive or endangers Sarah Parks Horsemanship employees, volunteers or participants, the volunteer fails to follow SPH policy guidelines and procedures, is difficult to work with, impairs the participation of the others or upon violation of the terms as determined by Sarah Parks Horsemanship.
Waive All Claims
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In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my “Legal Representatives”) agree • To Waive All Claims that I might have against the “HOST”; and • To Release the “HOST” from Any and All Liability for any loss, damages, injury, or expense that I or my “Legal Representatives” might suffer as a result of my Participation due to any cause whatsoever including any NEGLIGENCE ON THE PART OF THE “HOST”; and • To HOLD HARMLESS AND INDEMNIFY THE “HOST” from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.
I agree that by checking this box it waives certain legal rights I or my “Legal Representatives” might have against the “HOST”.
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Before checking the "I agree" box on this form, I read it (as indicated by my checked boxes above) and I stated I understand it. I know that checking the "I agree" box on this form, waives certain legal rights I or my “Legal Representatives” might have against the “HOST”. Do Not check the "I agree" box until you Understand All Items Above.
Volunteer signature
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Please type the volunteer's name as a digital signature. By signing this line they agree to the above risks and liability waivers.
First Name
Last Name
