Volunteer Registration and Release Form

  • Please list your email address or type None if you do not have one.
  • Your Volunteer Interests

  • Volunteer Availability

    Please tell us the days and time periods you are available to volunteer on a weekly basis. Your actual volunteer schedule will be arranged with the Volunteer Manager following your Training and Orientation session.
  • PLEASE READ EACH OF THE FOLLOWING ITEMS

    High Hopes takes the privacy of our participants, their families, volunteers, visitors and staff seriously. At the same time we value the use of real images in the promotional and reporting activities which enable us to provide subsidized therapeutic activities. By engaging in activities at High Hopes Therapeutic Riding, Inc. I understand that I/my child/my ward may be photographed, filmed, or videotaped and I hereby give High Hopes Therapeutic Riding, Inc. the unqualified right to take pictures and/or recordings of me/my child/my ward and grant the perpetual right to use that likeness, video, image, photograph (collectively “image”), without compensation, for broadcast or exhibition in any medium and to put the finished images/recordings to any legitimate use without limitation or reservation. I hereby waive, release and forever discharge High Hopes Therapeutic Riding, Inc. from and against any and all claims or actions arising out of, or resulting from any use of your image. High Hopes Therapeutic Riding, Inc. shall not be obligated to use, and may elect not to use, any image.
  • DIGITAL SIGNATURE

    The undersigned acknowledges that he/she has read this Volunteer Registration & Release form in its entirety; that he/she understands the terms of this release and has signed this release voluntarily and with full knowledge of the effects thereof
  • If volunteer is under 18 years of age, both parent & volunteer signatures are required.
  • CONFIDENTIALITY POLICY

    At High Hopes, we place great importance on protecting the confidential information of our clients, our staff and our volunteers. “Confidential Information” includes, but is not limited to, personally identifiable information such as surnames, telephone numbers, addresses, e-mails, etc., as well as the non-public business records of High Hopes. In particular, medical information about clients, and information about their disabilities or special needs, must be protected as Confidential Information. Volunteers shall never disclose Confidential Information to anyone other than High Hopes staff. Volunteers must seek staff permission before taking any pictures or videos.
  • If volunteer is under 18 years of age, both parent & volunteer signatures are required.
  • Volunteers 18 years and older please complete this portion

  • Reference & Background Check Information

  • Authorization for Emergency Medical Treatment for Volunteers

  • In Case of Emergency Contact

  • Consent Plan

  • If volunteer is under 18 years of age, BOTH parent & volunteer signatures are required.
  • * If you choose non-consent for emergency medical treatment/aid in the event of illness or injury while on the property of the agency, please request a Non-Consent Form, which requires notarization.