Volunteer Form

Divine Equine

Volunteer Application
Contact Information
Date*

MonthDayYear
Volunteer Name*

PrefixFirst NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile Phone Number*

Area CodePhone Number
E-mail*
Prefered Method of Contact

MobileE-mail
Volunteer Information
Experience working with horses:

NoneLittleOwn a horse
Experience working with people with disabilities:

NoneLittle
How did you hear about Divine Equine?

FriendwebFB
Days you are looking to Volunteer

MondayTuesdayWednesayThursdayFridaySaturdaySunday
Time (s) You are looking to Volunteer

MorningsAfternoonEvenings
Type of Volunteer Poisition

Arena WorkBarn MaintenanceChuck WagonEventsHorse LeaderLandscapingOffice AdministrationRoustaboutSide Walker
Background Information

Have you ever been convicted of a crime?
NoYes
IF Yes Please Explain:
Driver's License Number:
Authorization of Background Check
Authorization of Background check in all law enforcement, sheriff's department, of this state or any other state or federal government, pertaining to any convictions I may have had for violations of state or federal criminal laws, including but not limited to convictions for crimes committed upon children or animals.
Authorization of Background

I do ConsentI expressly DO NOT authorize the PATH Intl Center
Signature
Policy of Confidentiality
I agree to respect and observe the privacy and confidentiality of the participants, volunteers, and donors of Divine Equine Therapeutic Riding Center Therapeutic Riding Center and not discuss or disclose sensitive information about any person or their family.
Signature
Photo Release

Please indicate your preference by signing your consent or non-consent
I authorize the use and reproduction by Divine Equine Therapeutic Riding Center, of any and all photographs and any other audiovisual materials taken of me/my son/my daughter/my ward for promotional printed material, educational activities, exhibitions, or for any other use for the benefit of the program.
I consentI DO NOT consent
Participation of Volunteer
I acknowledge that while volunteering at Divine Equine Therapeutic Riding Center’s. I acknowledge the risks and potential for risks of injury. However, I feel that the possible benefits to myself/my son/my daughter/my ward are greater than the risk assumed. I hereby, intending to be legally bound for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against Divine Equine Therapeutic Riding Center, its Board of Directors, Instructors, Therapists, Aides, and or Employees for any and all injuries and /or losses I/my son/my daughter/ my ward may sustain while volunteering at Divine Equine Therapeutic Riding Center. WARNING – Under Texas law (Chapter 87, Civil Practice and Remedies Code), 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 equine activities.
Signature
Should be Empty:

Divine Equine

Contact Information

Volunteer Information

Background Information

Authorization of Background Check

Policy of Confidentiality

Photo Release

Participation of Volunteer