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Talisman Therapeutic Riding Volunteer Application

Volunteers are critical to achieving our mission and vision. It is with the volunteer help that we can focus on our guiding principles and continue to make miracles happen on the farm every day. We look forward to your willingness to help us at Talisman Therapeutic Riding continue our mission!

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 Talisman Therapeutic Riding. Make sure you have access to both the email account and the mobile for texts.

First Name *

Last Name *

Email *

Mobile *

Photo & Publicity Release

Photo/Video/Sound Release Form By my selection, I do consent to and authorize the use and reproduction by Talisman Therapeutic Riding, Inc. of any photographs, video, audiovisual, or digital media materials taken of me/my child/my ward for promotional printed material, internet website, educational activities, exhibitions or for any other use for the benefit of Talisman Therapeutic Riding, Inc., or the Professional Association of Therapeutic Horsemanship International (PATH).

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 *

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, volunteering, or while being on the property of the agency, I hereby authorize Talisman Therapeutic Riding, Inc. to: 1. Secure and retain medical treatment and transportation if needed. 2. Release client or volunteer records upon request to the authorized individual or agency involved in the emergency medical treatment. (Parents/legal guardians must sign for children under 18, wards of the court, or is legally responsible) This authorization includes x-ray, surgery, hospitalization, medication, and any treatment procedure deemed “lifesaving” by the physician. This provision will only be invoked if the person below is unable to be reached.

I accept the medical waiver *

Important Information and Acceptances

General Liability Release

I acknowledge, for myself and my estate, heirs, administrators, executors, and assigns, hereby release, discharge and hold harmless: (i) Talisman Therapeutic Riding, Inc. (ii) officers, directors, employees, representatives, agents, and volunteers (collectively, the “Covered Parties”) for, from and against any and all liability and responsibility whatsoever, however caused, for any and all damages, claims, or causes of action that I, my estate, heirs, administrators, executors, or assigns may have for any loss, personal injury, or death, arising out of, connected with, or in any manner pertaining to my participation in equine activities on the premises, WHETHER CAUSED BY THE NEGLIGENCE OF TALISMAN THERAPEUTIC RIDING, INC. or other Covered Party. I fully understand that there are potential risks and hazards associated with and inherent upon entering said Premises and participating in equine activities, including, but not limited to, injury, loss, damage or death. Despite the potential risks, I wish to proceed, and freely accept and assume all risks that may arise on the Premises, and/or while participating in equine activities, WHETHER CAUSED BY THE NEGLIGENCE OF TALISMAN THERAPEUTIC RIDING, INC. or any other Covered Party. I acknowledge that my participation is purely optional, and that I am freely and voluntarily entering the Premises and participating in equine activities. I agree to indemnify, hold harmless and defend Talisman Therapeutic Riding, Inc. and any other Covered Party from any and all claims, actions, damages, liability, costs or expenses (including reasonable attorneys’ fees) of any spectator, participant, or other third party, (including damage to any equine of any spectator, participant or third party) in connection with or arising out or caused by my presence and/or involvement or participation in the equine activities or observing or assisting somebody who is participating in the equine activities. In signing this agreement, I acknowledge and represent that I have read and understand this agreement; that I sign it voluntarily and for full and adequate consideration, fully intending to be bound by the same; and that I am at least eighteen (18) years of age and fully competent.

I accept the release of liability *

Confidentiality

I understand that: The medical diagnosis of our participants is confidential information. Instructors will tell you what you need to know about a participant and their goals, abilities, level of assistance needed. Participants and parents may choose to share diagnosis information with you, please be mindful not to discuss that information outside of TTR.

I accept the confidentiality release *

Background Check Release

At Talisman Therapeutic Riding, we require a Background Check for our Volunteers.

I hereby grant Talisman Therapeutic Riding permission to run a background check *

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