Volunteer Application

Thank you for your interest in volunteering with us. Please complete this application and submit it.

903-838-3223 - narda@runninwjranch.com - 4802 S Kings Hwy, Texarkana, TX 75501

Volunteer Application

Today's Date

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Personal Information

First Name

Last Name

Email

Date of Birth

Are you a Returning Volunteer?

If yes, how many years have you been with us?

Phone Number:

Address

Employer/Organization/School

Height

T-Shirt Size

Military Service?

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Availability & Role

Which areas are you most interested in supporting? *Anyone working around our horses or with our riders must attend a volunteer training session. *

Event/Fundraiser Support

Community Outreach

Horse leader - Horse handling experience required

Side Walker - No horse experience required

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Horse Leaders or Side Walkers: Please select your weekly availability for Equine Assisted Services Classes

If you cannot commit to at least one hour each week, would you like to be called in if another volunteer is unable to make their scheduled time?

Yes

No

Are you comfortable working outdoors in various weather conditions? *

Yes

No

Please briefly describe any relevant past experience or skills. (Prior experience working with people with special needs, experience working with horses, etc.)

Please give a brief description of why you would like to volunteer with us.

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Emergency Contact

Emergency Contact Name

Emergency Contact Phone

Preferred Physician or Medical Facility

Insurance Company

Insurance Policy/Group #

Describe any medical conditions requiring special precautions or treatment (ie. Diabetic, Severe, Allergies, Asthma, etc)

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In the event emergency medical aid or treatment is required due to illness or injury on the property of the of this agency, I authorize Runnin' WJ Ranch to:

1. Secure and retain medical treatment and transport if needed.

2. Release my records upon request to the authorized or agency involved in the medical emergency treatment.

(This authorization includes x-rays, surgery, hospitalization, medication, and any treatment procedure deemed "lifesaving" by the physician. This provision will only be invoked if the person listed above cannot be reached.

By typing your full name below, you agree to these terms.

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Background Check

Have you ever been arrested or convicted of a crime?

Yes

No

If yes, please explain the nature of this crime in detail:

Are you currently on probation?

Yes

No

Is the charge a

Misdemeanor

Felony

Are you volunteering to receive community service hours?

Yes

No

Are these hours court ordered?

Yes

No

If yes, how many hours?

Current driver's license number & state:

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Releases

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PLEASE TYPE YOUR FIRST AND LAST NAME IN THE SPACES BELOW AS YOUR ELECTRONIC SIGNATURE.

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Photo Release:

For valuable consideration given and which is hereby acknowledged, the undersigned hereby grants to Runnin WJ Ranch permission to take or have taken still and moving photographs and films, including television pictures, and consents and authorizes Runnin WJ Ranch and its work, to use and reproduce the photographs, films or pictures, and to circulate and publicize the same by all means, including, without limiting the generality of the foregoing, newspapers, television media, brochures, pamphlets, instructional materials, books, social media, and clinical materials. With respect to the foregoing matters, no inducements or promises have been made to secure this signature to release other than the intention of Runnin WJ Ranch to use or cause to be used such photographs, films, and pictures for the primary purpose of promoting Runnin WJ Ranch to its work.

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Liability Release:

No person can be accepted for volunteer service until the participant has completed this form. If the participant is less than eighteen (18) years of age the parent or guardian must complete this form. Services will be under trained supervision and although every effort will be made to avoid any accident, NO LIABILITY can be accepted by any of the organizations concerned, including Runnin’ WJ Ranch. YES, I would like to participate or have my son/daughter participate as a volunteer. I understand that NO LIABILITY can be accepted by any organization concerned with this service, including Runnin’ WJ Ranch in the event of any accident, which might occur.

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Confidentiality Agreement:

I agree to respect and observe privacy and confidentiality of the participants, volunteers and donors of the Runnin' WJ Ranch Therapeutic Riding Center and not discuss or disclose any sensitive information about any person or their family. This includes posting to social media, taking photos for personal use of staff, volunteers, riders, or horses.

Volunteer Application

Volunteer Application

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Runnin' WJ Ranch Therapeutic Riding Center, Inc.

Psalms 139:14

Contact Us

903-838-3223

General: runninwj@gmail.com

Volunteer: narda@runninwjranch.com

4802 South Kings Highway, Texarkana, Texas 75501, United States