VOLUNTEER APPLICATION

VOLUNTEER APPLICATION

Hope Haven Therapeutic Riding and Wellness Centre
General Contact & Emergency Information
Name *

First Name Last Name
Date of Birth *

Month Day Year
Date Date Picker Icon
Home Phone Number

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Email
example@example.com

Address *

Street Address
Street Address Line 2
City	Province
Postal Code	Country

Emergency Contact *

First Name Last Name
Emergency Phone *

Area Code Phone Number
Emergency Email *
example@example.com
Please specify and allergies, medications or medical diagnoses that may be important in an emergency situation. (e.g. Diabetes, Epipen, Seizure disorder, history of heart condition, etc)

Confidentiality and Information Release
I recognize that my role as a participant with Hope Haven Therapeutic Riding Centre will entitle me to certain information about other participants which should be treated as confidential. All information given to me by a parent/instructor/volunteer in relation to another participant will be discussed only with the personnel of Hope Haven and at no time will I discuss this information with any other individual. I recognize that all material and papers pertaining to a participant's care are legal documents, and that all information contained therein is confidential. If at any time there is a concern about the collection, use or disclosure of my personal information I may contact Hope Haven's privacy officer.

In order for everyone on the Hope Have team to create an empowering, fun and supportive environment it is important for all volunteers and staff to understand the needs of the participant. In recognition of this, I hereby authorize Hope Haven Therapeutic Riding Centre to release to its instructors and volunteers such information from these forms as may be necessary to conduct safe and beneficial programming. I recognize that all volunteers and staff have signed an oath of confidentiality.
Volunteer Signature *

Clear
Photo/Social Media Release
I hereby authorize Hope Haven Therapeutic Riding Centre to use and reproduce any photographs and/orother audio-visual materials taken of me for promotional printed material, educational activities,exhibitions or for any other use for the benefit of our programs. This may also include publishing onsocial media platforms such as Facebook, Instagram, and YouTube.

YES NO

Acknowledgment of Risk & Liability Release

Every individual must read and understand the following information before participating inequine activities.
To: Hope Haven Therapeutic Riding Centre and Family Camp Inc, their directors, employees, volunteers, business operators, and site property owners (all of them collectively called the HOST).

1. I Understand there are inherent DANGERS, HAZARDS and RISKS, (collectively called RISKS) associated with Equine Activities and injuries resulting from these "RISKS" are a common occurrence.

2. I Acknowledge that the Inherent "RISKS" of Equine Activities mean those
DANGEROUS conditions which are an integral part of Equine Activities, including but not limited to:
- The propensity of any equine to behave in ways that might result in injury, harm or death to persons on or around them and to potentially collide with, bite or kick other animals, peopleor objects.
- The unpredictability of an equine's reaction to such things as sounds, sudden movement, tremors, vibrations, unfamiliar objects, persons or other animals and hazards such as subsurface objects.
- The potential for other participant(s) to act in a negligent manner that might contribute to injury to themselves or others, such as failing to act within their ability or to maintain control over an equine.
3. I Freely Accept and Fully Assume All Responsibility for the Inherent "RISKS" and the possibility of personal injury, death, property damage or loss resulting from my Participation in Equine Activities.

4. I Acknowledge that it remains my Sole Responsibility to act in such a manner as to be responsible for my own safety and to Participate Within My Own Limits.

5. In addition to consideration given for my Participate in Equine Activity, I and my heirs, executors, administrators and assigns (collectively called my "Legal Representatives") agree
- To Waive All Claims that I might have against the "HOST" ; and
- To Release the "HOST" from Any and All Liability for any loss, damages, injury, or expense that I or my "Legal Representatives' might suffer as a result of my Participation due to any cause whatsover including any negligence on the part of the "HOST" ; and
- To HOLD HARMLESS AND INDEMNIFY THE "HOST" from any and all liability for property damage or personal injury to any third party which might result from my Participation in Equine Activities.
In signing this form I understand all of the points above and I waive certain legal rights I or my "Legal Representatives" might have against the "HOST".
Name

First Name Last Name
Date Signed:

Address

Street Address

City	Province
Postal Code	Country

Volunteer Signature *

Clear
Witness Signature *

Clear
Parent Signature (if less than 18yrs)

Clear
Policy Agreement
I have read and agree to Hope Haven’s POLICIES which are outlined on our Policy page athopehavencentre.org.

Agree
I understand that I must have a completed VULNERABLE SECTOR POLICE CHECK before I begin my volunteer role.

Agree
Thank you for completing your Volunteer Application for Hope Haven. As soon as your application is received and processed we will be in touch!
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VOLUNTEER APPLICATION

General Contact & Emergency Information

Learning More About You

Confidentiality and Information Release

Photo/Social Media Release

Acknowledgment of Risk & Liability Release

Policy Agreement