Wranglr

Hello and welcome to Northland Therapeutic Riding Center's Volunteer platform Wranglr! We use Wranglr to schedule, communicate and track volunteer hours. We look forward to getting in touch with you if you have further questions or would like assistance filling this form out please reach out to Volunteer Coordinator Amanda Mayfield at volunteerntrc@gmail.com.

Basic Info

First, let's get your basic info. We use Wranglr for helping to schedule our volunteers. Please enter your name, email and mobile number. This info will be used to communicate openings, your schedule and important info from Northland. Make sure you have access to both the email account and the mobile for texts.

First Name *

Last Name *

Email *

Mobile *

Photo & Publicity Release

Do you authorize the use of reproduction by NTRC of any and all photographs and any other audio/visual materials taken of you for promotional printed material, educational activities, exhibitions or for any other use for the benefit of the program?

YES - I CONSENT to photos/publicity release

NO - I DO NOT CONSENT to photos/publicity release

Additional Info

Why do we need this info? Some volunteering roles and duties might require you to work with larger horses, carry heavier things, etc. We also work with Participants that have many different needs and the below information helps us make more informed decisions for our Participants and Volunteers. Please fill out whatever info you are comfortable sharing with us.

Height

Weight

Gender Identity

Please Share Your Pronouns (optional)

T-Shirt Size

Driver's License (State and # please)

Birth Date*

Parent/Guardian/Caregiver Info

If you are a minor or an adult with legal guardians/caregivers, or are filling out this application on behalf of someone else, please include Parent or Guardian/Caregiver info below.

Parent or Guardian/Caregiver Name

Parent or Guardian/Caregiver Phone

Parent or Guardian/Caregiver Email

Contact Info

Street Address *

Additional Address Info

City *

State *

Postal code *

Country *

Emergency Contact

Emergency Contact Name *

Emergency Contact Relation *

Emergency Contact Phone *

Experience and Health Info

Do you have any previous horse experience? *

Have you had any previous experience working with people with special needs? *

Have you ever been convicted of a crime?

If so, please explain below

Enter your School or Employer name *

Pre-existing Health Conditions (put n/a if none) *

Please list all medication you are taking (including medical marijuana) (put n/a if none) *

Please note any allergies and if EpiPen or inhaler is used (put n/a if none) *

What is your general health status? Tell us about any special needs or health concerns *

Do you have Health Insurance?

Insurance Details - please put company and coverage dates

Medical Waiver

In the event emergency medical aid/treatment is required due to illness or injury during the process of receiving services or while being on the property of the agency, I authorize Northland Therapeutic Riding Center to: 1. Secure and retain medical treatment and transportation if needed. 2.Release client records upon request to the authorized individual or agency involved in the emergency medical treatment.

I accept the medical waiver *

Volunteering

At NTRC our Volunteers are the most important aspect to the program. We can not offer the services we do without dedicated and caring individuals such as yourself. We strive to make your time at the barn fulfilling both for you as well as the participants. Horses are great healers for all involved and we hope you find NTRC to be a safe haven for your mind and make new friends both human and equine.

How did you hear about volunteering with us?*

Word of Mouth

Received a volunteer information card in the mail or as a handout

Social Media/TV

Other

Do you have any special skills or training?*

Marketing, advertising, promotions and social media

Special event planning, auction planning, procurement

Fencing, electrical and building repairs or maintenance

Data entry

What is your general availability to help us at Northland?*

Please enter the days of the week and times you are open

Important Information and Acceptances

General Liability Release

I acknowledge the risk and potential risk associated with the work involved with therapeutic riding. I hereby, intending to be legally bound, waive and release forever all claims for damages against Northland Therapeutic Riding Center, its Board of Directors, Instructors, Therapist, and/or Employees for any and all injuries and/or losses I may sustain while participating in events and activities at NTRC. Under Missouri law, an equine activity sponsor, an equine professional, a livestock activity sponsor, a livestock owner, a livestock facility, a livestock auction market, or any employee thereof is not liable for an injury to or the death of a participant in equine or livestock activities resulting from the inherent risks of equine or livestock activities pursuant to the Revised Statues of Missouri. Section 537.325

I accept the release of liability *

Confidentiality

I will adhere to the confidentiality policy of NTRC, which states, in part, that all client information will remain confidential. This also restricts the use of photographs of clients and volunteers without express permission.

I accept the confidentiality release *

Background Check Release

At Northland, we require a Background Check for our Volunteers. There is a $12.00 fee for the background check.

I hereby grant Northland permission to run a background check *

Consent to Electronic Signature

We require signature to complete this application.

I consent to Electronic Signature *

Copy this link to paste into your web browser to pay the $12 background screening fee only if you are over the age of 18. (Scroll about 3/4 to the bottom) Thank you! https://www.northlandtherapeuticriding.org/volunteer-opportunities

Northland Volunteer Application