Ready Set Ride Volunteer Application and Waiver

Name*

First NameLast Name

Email*

We will use this to send you essential volunteer program communications.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth (must be at least 14 to volunteer)*

MonthDayYear

Please note: Everyone must learn the basics around the barn such as grooming the horses, cleaning stalls and equipment, and tacking up horses.

In addition, please indicate other areas of interest.*

How many years of horse experience do you have? (Not required to be a volunteer)*

Do you have any medical or physical issues that affect you that we should be aware of while keeping in mind that the safety of our riders is our first priority?*

Emergency Contact Name*

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

WARNING: UNDER THE EQUINE ACTIVITY LIABILITY ACT, EACH PARTICIPANT WHO ENGAGES IN AN EQUINE ACTIVITY EXPRESSLY ASSUMES THE RISKS OF ENGAGING IN AND LEGAL RESPONSIBILITY FOR INJURY, LOSS, OR DAMAGE TO PERSON OR PROPERTY RESULTING FROM THE RISK OF EQUINE ACTIVITIES.

By entering my name, I consent to the use of e-signature (typed initials/name) in lieu of a physical signature for this waiver.*

Enter full name

PHOTO AND MEDIA RELEASE - I consent to the use and reproduction by Ready Set Ride of any and all photographs and any other audio-visual materials taken of me for promotional material, education activities, exhibitions, or for any other use for the benefit of the program.*

Enter initials to agree

AUTHORIZATION FOR EMERGENCY MEDICAL TREATMENT - In case of emergency I give permission to Ready Set Ride to secure medical treatment including x-ray, surgery, hospitalization, and medication. *

Enter initials to agree

HORSEBACK RIDING AND RELATED ACTIVITIES RELEASE OF LIABILITY AND INDEMNITY AGREEMENT

WARNING: UNDER THE EQUINE ACTIVITY LIABILITY ACT, EACH PARTICIPANT WHO ENGAGES IN AN EQUINE ACTIVITY EXPRESSLY ASSUMES THE RISKS OF ENGAGING IN AND LEGAL RESPONSIBILITY FOR INJURY, LOSS, OR DAMAGE TO PERSON OR PROPERTY RESULTING FROM THE RISK OF EQUINE ACTIVITIES.

Please read carefully before signing
** READY SET RIDE will herein be known as and referred to as RSR

The Participant expressly agrees that RSR Therapeutic Recreation Facility, its Employees, Officers, Directors, Shareholders, Agents, Owners, Guides, Instructors, Volunteers, and/or and other independent contractors shall NOT BE LIABLE for any property damages, personal injuries, or losses arising from injuries sustained by the Participant in, on, or as a result of the Participant using the facilities, equipment, horses, jumping rails, and other related paraphernalia, or horses in, on or about the premises of RSR Therapeutic Recreation Facility, or any riding or jumping, trail, or route. The Participant therefore hereby fully and forever releases and discharges RSR Therapeutic Recreation Facility, its Employees, Officers, Directors, Shareholders, Agents, Owners, Guides, Instructors, Volunteers, and other independent contractors from any and all claims, demands, damages, rights of action or cause of action present or future, whether known or unknown, anticipated or unanticipated, resulting from or arising out of the Participant’s use or intended use of the facilities, equipment horses, jumping rails, and related paraphernalia thereof or any riding or jumping, trail or route. *

Please initial to show that you agree.

Participant represents that the Participant is in good physical condition and has no disability, impairment, ailment, allergy, or fear that prevents or hinders Participant from engaging in active or passive exercise, including horseback riding, or that will be detrimental to the Participant’s health, safety, comfort, or physical condition. Participant agrees to the terms of the Release for good and valuable consideration including the right to participate in the sport of horseback riding*