VOLUNTEER INFORMATION FORM

Name:  Age (if under 21):  Phone:  

Address:   City:  State:  Zip:

Email:

Employer:  Phone: 

Notify In Case of Emergency:  Phone:

Do you have any physical limitation?  Yes  No

 If yes, please specify:

Can you walk for 60 minutes and jog for short distances?  Yes  No

Do you have experience with horses?  Yes  No

 If yes, please specify:

Attended Volunteer Training: No  Yes - Date Attended:

Do you have skills or training which may be of benefit (Special Ed., CPR, RN, etc.)?

Please check below your areas of interest:

 Mount Leader

 To be a Substitute

 Side Walker

 Organize Volunteer Schedule

 Grooming & Preparing Horses

 Campfire Stories/Singing

 Typing/Office Help

 Provide Refreshements

 Fund Raising

 Serve Refreshments

 Telephone Calling

 Assist with Exotic Animals

 Publicity: Contacting Organizations, writing articles, etc.

Please fill in the blanks with times you would be available as a regular volunteer:

Spring Session:

 Afternoon Session  Tues.  Thurs.

(Apr & May)

 Evening Session  Tues.  Thurs.

Fall Session:

 Afternoon Session  Tues.  Thurs.

(Sept & Oct)

 Evening Session  Tues.  Thurs.

By checking and signing below, I affirmatively state that I understand that as a volunteer at Paradise Ranch, I agree to release, discharge and hold harmless all instructors, therapists, horse owners, staff, or any and all other parties, agents, employees or representatives involved with Paradise Ranch from Liability for all manner of claims, demands and damages I may have, whether for property damage or personal injury, resulting from or in any way arising our of my participation as a volunteer for Paradise Ranch.

 I AGREE

Signature:   Date:

Parent’s Signature (if under 21):   Date: