Volunteer Application Form

Volunteer Application
First Name:*
Last Name*
Street Address*
City:*
State:*
Zip:*
Home Phone:*
Work Phone:
Cell phone:
Email Address:*
Applicants Email*
example@example.com
Are you at least 18 years old? *
If you are under 18 years of age, how old are you? You must be at least 13 to volunteer and must have a guardian with you while at Sixteen Hands.
Do you have current health insurance?*

YesNo
Complete this block If you answered no to the question above. By signing my name here I acknowledge that I do not have health insurance and release Sixteen Hands Horse Sanctuary of any and all liability if I should become injured or ill while on Sixteen Hands Horse Sanctuary property or in service to Sixteen Hands Horse Sanctuary.

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Allergies or physical restrictions:*
How did you hear about Sixteen Hands Horse Sanctuary?*
Why do you want to volunteer at Sixteen Hands?*
Do you need volunteer hours for school?*

YesNo
Have you ever been convicted of a crime?*

YesNo
If so, please give detailed information regarding conviction.*
Do you need court-ordered volunteer hours?*

YesNo
Is riding a horse important to you as a volunteer? Please note: We do not ride the horses here at the sanctuary.

YesNo
Do you work with any other rescue organizations?

YesNo
If so, please give contact information for that organization including name and phone #:
Do you have any animal experience? (check all that apply)

Veterinary HospitalBoarding FacilityFoster HomeShelter WorkHorse OwnerPet SittingFarm AnimalsPet OwnerOther
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Horse Experience, Special Skills, Strengths, Talents: (check all that apply)*

NoneRidingTrainingBoardingHusbandryGroomingOther
Other Experience, Special Skills, Strengths, Talents: (check all that apply)

Accounting/bookkeepingCarpentryComputersFundraisingGraphic ArtsPaintingPhotographyPublic SpeakingSocial MediaWritingOther
If you listed other or would like to comment more on your experience with the above, please do so here:
If you would like to comment more on your experience with the above, please do so here:
Volunteer Work Preferences: (check all that apply)*

Stall & Pasture CleaningFeedingGrounds MaintenanceEquipment MaintenanceBookkeepingTable EventsMarketingGraphic DesignInformation TechnologySocial MediaClerical/OfficeSpecial EventsEducational ProgramsCommunity OutreachOther
What day(s) are you available to volunteer? We encourage our volunteers to commit to a weekly schedule.*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What times are you available to volunteer? Please check only one*

Mornings - 9:00 am until 1pmAfternoons - 3 pm until 5 pm
Can you lift 50 lbs?

YesNo
Are you willing to pick up small deliveries (occasional feed/medication)?

YesNo
Would you like to receive our newsletter via email, if not we will only send volunteer related information?

YesNo
Any additional comments:
In case of emergency, who should we contact? (name and phone #)*
In case of emergency, who should we contact?

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
By signing below you give Sixteen Hands Horse Sanctuary permission to use any and all photo/videos of you while in service to Sixteen Hands Horse Sanctuary. Photos and videos will be used to promote the mission of Sixteen Hands Horse Sanctuary in any media, in perpetuity.
Signature

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Photo Release
Equine Liability Waiver and Hold Harmless Agreement

I acknowledge the inherent risks involved in working around and riding horses, which include but are not limited to, bodily injury from using, riding, or being in close proximity to horses, among other risks, and further, that both horse and rider can be injured on the ground or while mounted or in competition and schooling.
IN CONSIDERATION, therefore, for the privilege of riding and / or working around horses at Sixteen Hands Horse Sanctuary, Inc., I do hereby agree to hold harmless and indemnify Sixteen Hands Horse Sanctuary and further release them from any liability or responsibility for accident, damage, injury or illness to me, to any family member or spectator accompanying me while on the premises of Sixteen Hands Horse Sanctuary, Inc. and that except in the event of the sanctuary's gross and willful negligence, I shall bring no claims, demands, actions and cause of action, and/or litigation, against this sanctuary for any economic and non-economic losses due to bodily injury, death and/or property damage sustained by me and/or my minor child or legal ward in relation to the premises and operation of this sanctuary, including while riding, handling or otherwise being near horses owned or in the care, custody and control of this stable.
Warning

UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IN NOT LIABLE FOR AN INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.
In your own words, please write a sentence or two explaining that you understand the risks involved in being near horses and are willing to take those risks. *
Applicant Signature

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Sign with mouse cursor or your finger.
By signing below, you are stating that you are the parent/guardian of the above applicant and you grant your permission for him/her to volunteer with Sixteen Hands Horse Sanctuary.
Parent/Guardian Signature

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Parent/Guardian Email
example@example.com
Printed Name of Parent or Guardian

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Anything else you would like to say, please note it here:
Should be Empty:

Volunteer Application

Equine Liability Waiver and Hold Harmless Agreement

Warning