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Emerald Hollow Volunteer Application

Thank you for wanting to join our team! Please fill out the application info in full. After you fill out the application, please email Nicole at nicolesheridan@emeraldhollow.org to sign up for one of our Horse Leader (Horse experience necessary), Side Walker (No horse experience necessary) or Barn Helper trainings. Emerald Hollow TRC will not share your information; all information is kept confidential.

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 Emerald Hollow. Make sure you have access to both the email account and the mobile for texts.

First Name *

Last Name *

Email *

Mobile *

Photo & Publicity Release

I HEREBY consent and authorize / I DO NOT consent to, nor do I authorize Emerald Hollow Therapeutic Riding Center, Inc. to use my or my child’s photograph or image in its print, online, and video publications; and release Emerald Hollow Therapeutic Riding Center, Inc., its employees and any outside third parties from all liabilities or claims that I might assert in connection with the above-described activities; and waive any right to inspect, approve or receive compensation for any materials or communications, including photographs, videotapes, DVDs, website images or written materials, incorporating photos/images of me or my child.

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

CONSENT FOR EMERGENCY MEDICAL TREATMENT: In the event of an emergency, if medical aid/treatment is required due to illness or injury while volunteering with, or while being on the property of, Emerald Hollow Therapeutic Riding Center, Inc. (“EHTRC”), a Massachusetts non-profit corporation, I authorize EHTRC to secure and retain medical treatment and/or transportation if needed. This authorization includes any treatment deemed necessary by a treating health care professional and includes, but is not limited to, x-ray, surgery, hospitalization, and medication. In addition, I authorize HRTRC to release my/my child/my ward’s records to any individual involved in medical treatment and/or necessary transportation.

I accept the medical waiver *

Important Information and Acceptances

General Liability Release

I would like to volunteer at Emerald Hollow Therapeutic Riding Center, Inc. I acknowledge the risks and potential for risks of horseback riding and related equine activities, including grievous bodily harm. However, I feel that the possible benefits to myself/my child/my ward are greater than the risk assumed. I hereby, intending to be legally bound for myself, my heirs and assigns, executors, and administrators, waive and release forever all claims for damages against Emerald Hollow Therapeutic Riding Center, Inc., its Board of Directors, Instructors, Therapists, Aides, Volunteers, and/or Employees for any and all injuries and/or losses I/my child/my ward may sustain while volunteering from whatever cause including but not limited to the negligence of these released parties. The undersigned acknowledges that he/she has read this Registration and Release Form in its entirety; that he/she understands the terms of this release and has signed this release voluntarily and with full knowledge of the effects thereof.

I accept the release of liability *

Confidentiality

At Emerald Hollow Therapeutic Riding Center, Inc., we place great importance on protecting the confidential information of our clients, our staff, and our volunteers. “Confidential Information” includes, but is not limited to, personally identifiable information such as surnames, telephone numbers, addresses, e-mails, etc., as well as the non- public business records of Emerald Hollow. In particular, medical information about clients, and information about their disabilities or special needs, must be protected as Confidential Information. Volunteers shall never disclose Confidential Information to anyone other than Emerald Hollow Staff. Volunteers must seek staff permission before taking any pictures or videos. I have read and understand the Emerald Hollow Confidentiality Policy and agree to abide by same.

I accept the confidentiality release *

*No experience is necessary to begin helping as a lesson volunteer at Emerald Hollow TRC. We provide all the training necessary for you to be successful at the barn. Volunteers who wish to become leaders must show competency in handling equines and must participate in a specialized horse leader training.

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