Horsense Volunteer Application

VOLUNTEER INFORMATION LETTER

Welcome to Horsense!

Horsense is a dynamic series of five-week equestrian riding camps for new riders
where children will learn about the basic care, safety and responsibility of riding a
horse as well as basic first aid, life skills, desert survival and team building. While
at Horsense, campers will work on development of character, self-esteem, respect and responsibility. Volunteers play a key role in this development serving as mentors to the elementary age campers.

Volunteers should be prepared to:

Commit to all five weeks of the program to develop a bond with their
elementary “buddy”.
Camp Dates: See separate schedule
Be ready to interact with their elementary buddy – experiencing Horsense together – giving them encouragement as needed.
Assist as needed with set-up and clean-up of camp.
Arrive at camp each Saturday by 8:30 am–please allow time to park in
front of the ranch office and walk into camp. We will be finished by 12:15.

Additionally, Ride Crew Volunteers should:

Have basic horse related experience.
Be age 16 or older; or by instructor permission
Be able to stand and walk for an extended period.
Be able to walk with the horse and rider.

Each camp will consist of two sections:

Equestrian Instruction / Riding / Trail Ride
Classroom Instruction – (First Aid/Desert Animals/ Art/ Desert Safety

Horsense will provide each Volunteer with:

T-shirt
Hat
Water / snacks at each session.

Please always wear appropriate attire to camp - hat, jeans/long pants (no shorts) and closed toed shoes to camp. Please also bring a jacket/sweatshirt as needed – early morning at camp can be cold.

This is a special experience that you are sure to enjoy. A basic knowledge of
horses is an advantage, but not required. On the first day of camp, all necessary
information for a successful camp experience will be provided. In addition, all
participants will be required to turn in a completed Volunteer Information/Riders Assumption of Risk form with the required signature(s). You may not participate in the program without this signed form.

Camp is located at MacDonald’s Ranch:
26540 North Scottsdale Road
Scottsdale, AZ 85255
(Scottsdale Road and Jomax)

You will need to park up front and walk back (to the south) to the Horsense trailer.

Looking forward to working with you!
Sarah Lauchnor
sarah@healthworldeducation.org

Name*

First NameLast Name

Email*

example@example.com

Date of Birth*

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Shirt Size (Adult Sizes)*

SmallMediumLargeExtra Large

Are you interested in being a Ride Crew volunteer?

YesNo

Do you have horse riding experience?

YesNo

How did you learn about Horsense?

STUDENT VOLUNTEERS ONLY

School Name

Grade Level

Service Hour Contact

Phone Number

Please enter a valid phone number.

PLEASE PROVIDE INFORMATION OF WHOM TO CONTACT IN THE EVENT OF AN EMERGENCY.

Emergency Contact 1*

First NameLast Name

Phone Number*

Please enter a valid phone number.

Emergency Contact 2

First NameLast Name

Phone Number

Please enter a valid phone number.

Allergies*

RIDERS ASSUMPTION OF RISK & GENERAL RELEASE AGREEMENT

Arizona Inherent Risk Law: Under Arizona law, pursuant to A.R.S. 12-533, an equine activity sponsor or professional shall not be liable for any injury to, or the death of a participant in equine activities resulting from the inherent risk of equine activities.

I acknowledge that horseback riding is a sport which carries inherent risks of injury and damage to myself or my child/ward and to my property. A horse may, without warning or any apparent cause: buck, stumble, fall, rear, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person, that saddles or bridles may loosen or break, any/all of which may cause the rider to fall or be jolted, resulting in serious injury or death. I knowingly assume all risks, whether known or unknown, of horseback riding in the Health World Education program called Horsense.

I hereby release Health World Education and MacDonald’s Ranch, Inc. (hereinafter referred to as operators) from all liability for any act of negligence or want of ordinary care on the part of the operators, its employees, members, guests, directors, officers, volunteers, sponsors, or agents. In consideration of my participation in any and all activities organized or sponsored by the operators on the date(s) set forth above, I waive, release, and discharge the operators, its directors, officers, agents, employees, volunteers, sponsors, and other riders, their liability for injury or damage to myself, my child or ward, or my property arising out of my participation in horseback riding or associated equine and program activities. This agreement is binding upon my executors, heirs, legal representatives and is good for all sessions and other events done in connection with this program.

COVID-19 Acknowledgment and Disclosure:

I have read, understand, and agree that, while present at Horsense, I will be in contact with children and staff (volunteers) who are also at risk of community exposure. I understand that no list of restrictions, guidelines, or practices will remove the risk of exposure to COVID-19.

I agree that I will indemnify and hold harmless the operators, officers, directors, employees, guests, volunteers, sponsors, and agents against all claims, demands, and causes of action, including court costs and actual attorney’s fees, arising from any proceeding or lawsuit brought by me or prosecuted for my benefit.

I acknowledge that I have read and had the opportunity to read and discuss with my legal advisor, the RIDER’S ASSUMPTION OF RISK AND GENERAL RELEASE AGREEMENT and know and understand its contents.

Photo Release

I give my permission for my photo to be used in connection with the Horsense program either in print or video format.

I understand that as part of the application process a background check may be done.

Signature of Volunteer*

Volunteer Name*

First NameLast Name

Parent/Guardian Signature if volunteer under the age of 18.

Parent/Guardian Name

First NameLast Name

VOLUNTEER INFORMATION/RIDERS ASSUMPTION OF RISK &GENERAL RELEASE AGREEMENT