Wranglr

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

First Name *

Last Name *

Email *

Mobile *

Photo & Publicity Release

By checking the box below, I consent to and authorize the use and reproduction by Central Kentucky Riding for Hope, Inc. of any and all photographs and any other audio-visual materials taken of me for promotional material, educational activities, exhibits, electronic publications (including the World Wide Web), 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.

Birth Date*

Height

Weight

Gender Identity

T-Shirt Size

Please Share Your Pronouns (optional)

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

CKRH asks for medical information to ensure the safety of all of our volunteers. It is in your best interest to complete this section. However, if you do not fill out this section, CKRH will use their standard safety measures in the case of an emergency.

I accept the medical waiver *

Important Information and Acceptances

General Liability Release

I would like to participate in the Central Kntucky Riding for Hope, Inc. program. I acknowledge the risks and potential for risk of horseback riding, hippotherapy, and horse related activities/therapies. 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, known or unknown whether existing on the date of agreement or in the future, against Central Kentucky Riding for Hope, Inc. and The Kentucky Horse Park, their Board of Directors, Employees, Instructors, Therapists, Aides, Volunteers, Equines, Equine Owners, Equipment, and Operating Site for any and all injuries and/or losses I/my son/my daughter/ my ward may sustain while participating at Central Kentucky Riding for Hope, Inc. “WARNING: Under Kentucky law, a farm animal activity sponsor, farm animal professional, or other person does not have the duty to eliminate all risks or injury or participation in farm animal activities. There are inherent risks of injury that you voluntarily accept if you participate in farm animal activities.”

I accept the release of liability *

Confidentiality

I understand that any and all information, both written and verbal, regarding participants at Central Kentucky Riding for Hope, Inc., and confidential business matters shall be held in strict confidence at all times except as needed within the facility for therapy and/or business purposes. I understand that a breach of confidentiality is grounds for dismissal and may also result in legal prosecution.

I accept the confidentiality release *

Background Check Release

At CKRH, we require a Background Check for our Volunteers.

I hereby grant CKRH permission to run a background check *

Join us in helping horses heal people.

CKRH Volunteer Application