Wranglr

Welcome to High Hurdles and Lothlorien (LTRC) Therapeutic Riding Programs! We are excited that you are interested in joining us and looking forward to having you here. Volunteering at High Hurdles/LTRC allows a unique opportunity to help others, enjoy horses and the outdoors, and be in community with likeminded individuals. Please fill out the application below and you will be contacted by our staff to begin your volunteering journey!

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 High Hurdles. 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 to and authorize the use and reproduction by Suburban Adult Services, Inc./LTRC, of any and all photographs and any other audio / visual materials taken of me for promotional printed material, educational activities 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

I agree to assume the risk of injury inherent activities involved with volunteering at High Hurdles/LTRC, and also releases the organization from liability for any injuries that I might sustain while working as a volunteer.

I accept the medical waiver *

Volunteering

Our programs could not run without generous people like you! Each individual rider may require up to THREE people to help them when they are on the horse, and we serve over 200 riders per year! Riders need the extra support in order to ride safely and learn throughout each lesson.

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 High Hurdles?*

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

Important Information and Acceptances

General Liability Release

I would like to participate by volunteering at the High Hurdles Therapeutic Riding Program or Lothlorien Therapeutic Riding Program. I acknowledge the risks and potential for risks of horseback riding. However, I feel that the possible benefits 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 Suburban Adult Services, Inc./LTRC, its Board of Directors, Instructors, Therapists, Aides, Volunteers and/or employees for any and all injuries and/or losses I may sustain while volunteering at High Hurdles or LTRC.

I accept the release of liability *

Confidentiality

Please be considerate of a rider’s right to privacy both at High Hurdles/LTRC and when you leave. Information regarding rider identity and disability should never be discussed outside of High Hurdles/LTRC. Health, medical and other sensitive information will be given on an “as needed” basis with the consent of the rider and/or parents/guardians. High Hurdles/LTRC staff are not permitted to disclose a rider’s disability or diagnosis, but may share other information that will ensure the safety of the horse, rider and staff during their lessons. Please do not seek this information from riders, families and caregivers. This is both to respect our participants and to be in compliance with federal HIPAA laws.

I accept the confidentiality release *

Consent to Electronic Signature

I consent to the use of electronic signatures for the purposes of this application and all other documentation involved with High Hurdles/LTRC communications.

I consent to Electronic Signature *

High Hurdles/LTRC will be in contact to conduct a brief phone interview and obtain 2 personal or professional references. Please be on the lookout for a call from us!

High Hurdles Volunteer Application