Volunteer Application & Participation Packet

This replaces the paper Volunteer Application and Participation forms. It takes about 10 minutes. Background checks are run on all volunteer applicants.

Your information

Full name

Address

City

ZIP

Phone (home)

Phone (cell)

Date of birth

Height

Parent or guardian (if you're under 18)

Guardian name

Guardian phone

Jobs you're most interested in

Walking beside a student & horse (side walker)

Leading a horse during class (horse leader)

Helping with mounting/dismounting

Grooming and saddling horses

Care for and exercise horses (horse care team)

Assisting instructors

Teaching students (PATH Intl. instructor-in-training)

Volunteer medical professional (PT, OT, nurse)

Helping with snacks and beverages

Taking pictures during classes and activities

Helping at the Student Horse Show

Helping at parades

Helping with letters or luncheon fundraisers

Helping at the barn dance fundraiser

Interested in joining a volunteer staff team?

Facility Team

Horse Evaluation Team

Horse Care Team

Volunteer Coordination Team

About you

Why do you want to volunteer with RideAbility?

Previous experience with horses

Skills/education/experience working with people with disabilities

Scheduling preferences

Class session(s) — Spring, Summer #1, Summer #2, Fall

Day(s) of the week

Time(s)

Volunteer status

Trained volunteer

Volunteer in-training

Emergency contact & health insurance

RideAbility insurance does not include medical coverage for volunteers.

Who should we contact in an emergency?

Their phone number

Date of last tetanus shot

Health insurance provider

Policy number

Photo & publicity release

I consent to the use and reproduction of photographs, videos and other audiovisual materials taken of me (or my son/my daughter/my custodial child) for promotional material, educational activities, or any other use for the benefit or promotion of the RideAbility program or other equine-assisted activities and therapies.

I consent to the photo release, but I prefer to not have photographs taken when possible. I take responsibility for communicating my desire for no photographs or videos to staff, volunteers and guests. I do not intend to hold RideAbility liable for photographs or videos accidentally taken or taken by guests.

I do not consent to photographs or videos being taken of me (or my son/my daughter/my custodial child). I understand I must meet with the director to set up accommodations.

Signatures

Read each statement below, then type your full legal name once at the bottom to sign all of them. RideAbility requires this training and orientation checklist to be completed and signed.

Liability release to RideAbility

I, {name}, would like to participate in the RideAbility equine assisted activity program. I have been informed of the Minnesota Equine Liability Law, and I acknowledge the risks and potential for risks of horseback riding and working around horses. However, I feel that the possible benefits to myself (or my son/my daughter/my custodial child) 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 RideAbility and its Board of Directors, Instructors, Therapists, Aides, Horse owners, Volunteers and/or Employees for any and all injuries and/or losses that I (or my son/my daughter/my custodial child) may sustain while participating in RideAbility affiliated classes, activities and special events of any kind.

Liability release to the property owners

I, {name}, do take full responsibility for myself and my family while on the property, Promised Meadows Farm. I agree to pay all medical expenses for myself and my family if I/we have any kind of accident while on this property. I will do all I can to keep myself and others safe from physical harm while on this property. 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 Jim and Jeanie Michelizzi for any and all injuries and/or losses that I (or my son/my daughter/my custodial child) may sustain while on the property owned by Jim and Jeanie Michelizzi, located at 10038 County Road 5 NW, Pine Island, MN.

Liability release regarding exposure to infectious disease

I, {name}, do take full responsibility for exposure to (and medical bills related to) infectious disease for myself, our family, our guests and our custodial children. We understand and acknowledge the risk of exposure to contagious and infectious diseases. However, I/We feel that the possible benefits to myself (or my son/my daughter/my custodial child) 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 RideAbility and its Board of Directors, Instructors, Therapists, Aides, Horse owners, Volunteers and/or Employees for any and all diseases & contagions that I (or my son/my daughter/my custodial child) may be affected by while participating in RideAbility affiliated classes, activities and special events of any kind.

Minnesota Equine Liability Law acknowledgment

I, {name}, have read and/or been informed of the Minnesota Equine Liability Law (Minn. Stat. § 604A.12), which grants nonprofit organizations like RideAbility immunity from liability for injuries resulting from the inherent risks of livestock activities, with certain statutory exceptions.

Training and orientation completed

I, {name}, have completed the RideAbility mandatory training & orientation. I understand the program's guidelines, rules and expectations.

Statement of confidentiality

I, {name}, understand the importance of respecting all individuals I work with in the RideAbility program. I agree to keep confidential all knowledge of the medical conditions, emotional conditions, behaviors and opinions of other persons I meet at RideAbility.

I am the parent/legal guardian, signing on behalf of the volunteer named above (required if they're under 18)

Relationship to volunteer (if signing as guardian)

Type your full legal name to sign all statements above By typing your name and submitting, you agree this counts as your signature, dated today.