Volunteer Application Form

Volunteer Application
First and Last Name: *
Street Address *
City: *
State: *
Zip: *
Home Phone: *
Work Phone:
Cell phone:
Email Address: *
Applicants Email *
example@example.com
Are you at least 18 years old? *
If you are under 18 years of age, how old are you? You must be at least 13 to volunteer.
Do you have current health insurance? *

Yes No
Complete this block If you answered no to the question above. By signing my name here I acknowledge that I do not have health insurance and release Sixteen Hands Horse Sanctuary of any and all liability if I should become injured or ill while on Sixteen Hands Horse Sanctuary property or in service to Sixteen Hands Horse Sanctuary.

Clear
Allergies or physical restrictions: *
How did you hear about Sixteen Hands Horse Sanctuary? *
Why do you want to volunteer at Sixteen Hands Horse Sanctuary? *
Do you need volunteer hours for school? *

Yes No
Have you ever been convicted of a crime? *

Yes No
If so, please give detailed information regarding conviction. *
Do you need court-ordered volunteer hours? *

Yes No
Is riding a horse important to you as a volunteer?

Yes No
Do you work with any other rescue organizations?

Yes No
If so, please give contact information for that organization including name and phone #:
Do you have any animal experience? (check all that apply)

Veterinary Hospital Boarding Facility Foster Home Shelter Work Horse Owner Pet Sitting Farm Animals Pet Owner
If you would like to comment more on your experience with the above, please do so here:
If you listed other, please explain:
Horse Experience, Special Skills, Strengths, Talents: (check all that apply) *

None Riding Training Boarding Husbandry Grooming
Other Experience, Special Skills, Strengths, Talents: (check all that apply)

Accounting/bookkeeping Carpentry Computers Fundraising Graphic Arts Painting Photography Public Speaking Social Media Writing Other
If you listed other or would like to comment more on your experience with the above, please do so here:
If you would like to comment more on your experience with the above, please do so here:
Volunteer Work Preferences: (check all that apply) *

Stall & Pasture Cleaning Feeding Grounds Maintenance Equipment Maintenance Bookkeeping Table Events Marketing Graphic Design Information Technology Social Media Clerical/Office Special Events Educational Programs Community Outreach
What day(s) are you available to volunteer? (check all that apply) *

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
What times are you available to volunteer? (check all that apply) *

Mornings - 10 am until 2 pm Afternoons - 3 pm until 5 pm All day - 10 am until 5 pm
Can you lift 50 lbs?

Yes No
Are you willing to pick up small deliveries (occasional feed/medication)?

Yes No
Would you like to receive our newsletter via email?

Yes No
Any additional comments:
In case of emergency, who should we contact? (name and phone #) *
In case of emergency, who should we contact?

First Name Last Name
Emergency Contact Phone Number

Area Code Phone Number
By signing below you give Sixteen Hands Horse Sanctuary permission to use any and all photo/videos of you while in service to Sixteen Hands Horse Sanctuary. Photos and videos will be used to promote the mission of Sixteen Hands Horse Sanctuary in any media in perpetuity.
Signature

Photo Release Clear
Equine Liability Waiver and Hold Harmless Agreement

I acknowledge the inherent risks involved in working around and riding horses, which include but are not limited to, bodily injury from using, riding, or being in close proximity to horses, among other risks, and further, that both horse and rider can be injured on the ground or while mounted or in competition and schooling.
IN CONSIDERATION, therefore, for the privilege of riding and / or working around horses at Sixteen Hands Horse Sanctuary, Inc., I do hereby agree to hold harmless and indemnify Sixteen Hands Horse Sanctuary and further release them from any liability or responsibility for accident, damage, injury or illness to me, to any family member or spectator accompanying me while on the premises of Sixteen Hands Horse Sanctuary, Inc. and that except in the event of the sanctuary's gross and willful negligence, I shall bring no claims, demands, actions and cause of action, and/or litigation, against this sanctuary for any economic and non-economic losses due to bodily injury, death and/or property damage sustained by me and/or my minor child or legal ward in relation to the premises and operation of this sanctuary, including while riding, handling or otherwise being near horses owned or in the care, custody and control of this stable.
Warning

UNDER FLORIDA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IN NOT LIABLE FOR AN INJURY TO, OR THE DEATH OF, A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES.
In your own words, explain that you understand the risks involved in being near horses and are willing to take those risks. *
Applicant Signature

Sign with mouse cursor or your finger. Clear
By signing below, you are stating that you are the parent/guardian of the above applicant and you grant your permission for him/her to volunteer with Sixteen Hands Horse Sanctuary.
Parent/Guardian Signature

Clear
Parent/Guardian Email
example@example.com
Printed Name of Parent or Guardian

Clear
Anything else you would like to say, please note it here:
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Volunteer Application

Equine Liability Waiver and Hold Harmless Agreement

Warning