Volunteer Packet
Abundant Rein Horse Riding Center
Volunteer Profile
Volunteer 1
*
First Name
Last Name
Volunteer 2
First Name
Last Name
Volunteer 3
First Name
Last Name
Volunteer 4
First Name
Last Name
Email of volunteer or guardian
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Statement of Commitment
I (and/or my minor child) intend to participate as a volunteer at ABUNDANT RAIN MINISTRIES INC. in the Abundant Rein Horse Riding Center program. I understand that the Abundant Rein Program follows the Professional Association of Therapeutic Horsemanship and as such I have a responsibility to learn and follow PATH standards in the performance of my volunteer services. I understand that my commitment to perform the duties for which I have been trained on the schedule assigned are critical elements in providing therapeutic services to a particular client. If I am unable to perform those duties, I will find a replacement and/or notify the Instructor in writing, in advance regarding my absence. Failure to do so will result in a loss of volunteer credit for any service. I understand that I am responsible for logging my own volunteer hours for every session and that Abundant Rein will provide me with a signed Record of Service at the end of each semester upon request.
*
Yes
Confidentiality Policy
Abundant Rein Horse Riding Center (ARHRC) is designed to provide a valuable activity for individuals with various disabilities – physical, emotional and mental. Because of the nature of our service, we request information regarding the health and behavior of our clients that may be of a sensitive nature. We value each client’s right to privacy and are committed to preserving the confidentiality of information provided to us -- balanced by our staff and volunteers’ need to plan appropriate activities and protect the safety of our riders. ARHRC goes to great lengths not to divulge any information about any client to anyone other than volunteers and instructors directly involved with that client unless given explicit permission to do so. As a volunteer/staff member at ABUNDANT RAIN MINISTRIES INC. for ARHRC, I understand the importance of the above Confidentiality Policy and agree to abide by its intent. I also agree to respect the privacy of all clients and not discuss any aspect of a client’s disability, behavior or health with anyone outside of ABUNDANT RAIN MINISTRIES INC./ARHRC professionals involved with that client (i.e. instructors, program coordinators or the director) or the parent/guardian of that client.
*
Yes
Social Media Release
I give Abundant Rein Horse Riding Center permission to take photographs and/or videos of my child (or myself if 18 years of age and older) for the purpose of posting on Abundant Rein's Social Media Platforms, including, but not limited to, Facebook, Youtube, Instagram, and the Abundant Rein website. I hereby release and discharge Abundant Rein from any and all claims arising from the use of the photos and/or videos.
*
Yes
No
Liability Waiver
The undersigned, of lawful age, does hereby acknowledge the inherent, foreseeable, and unforeseeable risks of working with horses and activities involving such animals. The undersigned acknowledges that a horse may, without warning or any apparent cause, buck, stumble, fall, rear, bite, kick, spook, or otherwise behave in a manner which may cause the rider to fall, which can result in serious injury or death. In recognition thereof, and for and in consideration of the opportunity to participate as a volunteer/staff member of ABUNDANT RAIN MINISTRIES INC. in the ABUNDANT REIN HORSE RIDING CENTER program (ARHRC), the undersigned does hereby for himself/herself and for his/her heirs, executors, administrators, successors and assigns, release, acquit, hold harmless, and forever discharge ABUNDANT RAIN MINISTRIES INC./ARHRC and its directors, employees, volunteers, landlords/landowners and/or agents, from any and all liability, claims, losses, actions, suits, causes of action, demands, rights, damages, costs, expenses, fees and/or compensation of any type, description or character whatsoever, which may accrue on account of his/her participation as a volunteer/staff member in the ABUNDANT RAIN MINISTRIES INC./ARHRC PROGRAM. The undersigned agrees to release and hold harmless the facility, its employees and agents, and any independent contractors from any injury or death resulting from horse-related activities, including but not limited to: riding, longeing, leading, grooming, cleaning stalls, and trailering. By executing this agreement, it is my intention to assume all risk of bodily injury, death, or property damage occurring as a result of my participation as a volunteer/staff member in the ABUNDANT RAIN MINISTRIES INC./ARHRC PROGRAM. Signature:
Criminal Background
Investigation/Authorization Release
The undersigned of lawful age does hereby authorize ABUNDANT RAIN MINISTRIES INC./ARHRC to receive information from federal, state and local law enforcement agencies, courts, and offender registries, and/or private investigative agencies, regarding any charge or conviction for a felony or misdemeanor offense. I agree to provide ABUNDANT RAIN MINISTRIES INC./ARHRC all information required to properly identify me for this specific purpose, including but not limited to current and previous residential addresses, social security number, and drivers’ license number upon request. Signature
Emergency Medical
Authorization for emergency medical treatment
Emergency Contact 1
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship
*
Emergency Contact 2
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Relationship
*
Do you have any information you want to share with Abundant Rein in the event an emergency occurs, if so, explain below.
allergies? current medications? health insurance info? preferred hospital/physician?
In the event emergency medical aid/treatment is required due to injury during the course of programming, volunteer service, or while on the property of the center, I authorize ABUNDANT RAIN MINISTRIES INC. and Abundant Rein Horse Riding Center to: 1. Secure and retain medical treatment and transportation if needed. 2. Release medical information on this form to the authorized individual or agency involved in the emergency medical treatment. I agree to hold harmless and solemnly swear not to sue Abundant Rain World Outreach Church and the Abundant Rein Horse Riding Program as result of any and all liabilities, suits, costs, or claims made as a result of participation in these activities.
*
Yes
No
Signature
Submit
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