New Volunteer Information
Thank you for wanting to join our team! Please fill out the application in full. After you have filled out the application, and paid the online application fee, please sign up for one of our Sidewalker trainings online. You can register in the Event Section of our Website. Healing Reins will not share your information; all information is kept confidential.
Name
First Name
Last Name
Please share your pronouns
Date of Birth
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Month
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Day
Year
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Age
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Gender
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Sex
Primary Phone (please tell us if it is cell or home )
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Email Address
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Street Address
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City
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Zip Code
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School or Employer
Are you (check all that apply):
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Minor
Adult with Legal Guardian or Caregiver
Independent Adult
Veteran
How did you hear about us?
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Word of Mouth
Received a volunteer information card in the mail or as a handout
Social Media/TV
For minors or adults with legal guardians/caregivers:
Parent or Guardian Name
Phone Number
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Area Code
Phone Number
Email Address
Health History
Please list all medication (including medical marijuana)
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Please note any allergies and if EpiPen or inhaler is used
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What is your general health status? Tell us about any special needs or health concerns:
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Do you have health insurance?
Yes
No
Health insurance company name & policy #:
Date:
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Year
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Volunteer Consent & Release Form
CONSENT FOR EMERGENCY MEDICAL TREATMENT: In the event of an emergency, if medical aid/treatment is required due to illness or injury while volunteering with, or while being on the property of, Healing Reins Therapeutic Riding Center (“HRTRC”), an Oregon non-profit corporation, I authorize HRTRC to secure and retain medical treatment and/or transportation if needed. This authorization includes any treatment deemed necessary by a treating health care professional and includes, but is not limited to, x-ray, surgery, hospitalization, and medication. In addition, I authorize HRTRC to release my/my child/my ward’s records to any individual involved in medical treatment and/or necessary transportation.LIABILITY RELEASE: Under Oregon Law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of participating in equine activities, pursuant to section 30.691, Oregon Revised Statutes. I would like to volunteer in HRTRC’s program. I acknowledge the risks and potential for risks in riding and working with horses. However, I feel that the possible benefits to myself/my child/my ward are greater than the risks assumed. Intending to be legally bound, for myself and my heirs, assigns and legal representatives, I hereby forever waive and release any and all claims, whenever arising, against Faith Run Farms, LLC (“FRF”) an Oregon limited liability company, HRTRC, and their respective directors, officers, members, employees, agents and representatives arising from, or relating in any way to my/my child’s/my ward’s volunteering in any HRTRC program or presence on the FRF property generally.
I accept and agree to the terms and conditions listed above.
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Agree
Photo & Publicity Release
I DO/ I DO NOT Consent to and authorize the use and reproduction by Healing Reins Therapeutic Riding Center of any and all photographs and any other audio/visual materials taken of me for promotional material, educational activities, exhibitions or for any other use for the benefit of the program.
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I DO
I DO NOT
Volunteer Signature OR Parent/Guardian Electronic Signature if volunteer is a minor
Clear
Date Signed
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Month
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Day
Year
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Emergency Contact Information
Emergency Contact Name
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Relationship to Participant
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Phone Number
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Volunteer Jobs
Volunteers are the heart and soul of our programs and critical to the success of our mission. Healing Reins is able to provide its nationally accredited, therapeutic programs because of the donations of time and talent of specially trained community volunteers. There are a wide variety of volunteer jobs available at Healing Reins, the most important being the "sidewalker" and "leader" positions that support our participants in their lessons. SIDEWALKER: Works with our participants in the arena.A Sidewalker’s job is to empower the participant in all phases of the lesson. Sidewalkers interact with and guide the client, and also serve as an extra set of eyes and ears for the instructor. Sidewalkers are responsible for the participant’s safety, comfort, learning, and interaction with the horse. LEADER: Works with the horse during the lesson. A Leader’s job is to retrieve the horse from the paddock, bring the horse into the barn before the lesson, help with grooming and tacking, and handle the horse during all phases of the lesson. Leaders are primarily responsible for addressing the comfort and safety of the horse, and will interact with and observe the horse at all times to ensure the safety of the participant.*No experience is necessary to begin helping as a lesson volunteer at Healing Reins. We provide all the training necessary for you to be successful at the barn. All trained volunteers are automatically eligible to work as sidewalkers helping participants in the arena. **Volunteers who wish to become leaders must show competency in handling equines and must participate in a specialized leader training conducted at Healing Reins.
What type of Volunteering Interests you?
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Helping participants in the arena
Office work
Facility/ Barn Work
Special event help
Do you have any previous horse experience?
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Yes
No
I don’t have previous experience but I would like to learn more about horses.
If you answered yes, please explain.
Do you have any special talents or skills in the following areas?
Marketing, advertising, promotions and social media
Special event planning, auction planning, procurement
Fencing, electrical and building repairs or maintenance
Data entry
Healing Reins requests each volunteer to pay a $25 processing fee prior to orientation.
I agree to pay the $25 fee either online or bring to the training
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Yes
Confidentiality Agreement
Healing Reins Therapeutic Riding Center shall preserve the right of confidentiality for all individuals in its program. 1.The staff shall keep confidential all medical, social, referral, personal and financial information regarding a person and his/her family. 2.The staff will not disclose information to outside agencies or individuals without specific written consent of the rider or parent/guardian. 3.The volunteer will keep confidential all information about rider, family, parent/guardian. In the case of a breach of this confidentiality the volunteer will be reprimanded. If this occurs again, the volunteer will be terminated.
I accept and agree to the terms and conditions listed above.
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Agree
Signature
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Clear
Date
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Month
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Year
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I hereby grant Healing Reins permission to run a background check with Coeus Global
Agree
Volunteer Signature:
Clear
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Submit
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