HOPE SPRINGS EQUESTRIAN THERAPY, INC.

VOLUNTEER APPLICATION


Name: ____________________________________________________________________
Address: __________________________________________________________________
__________________________________________________________________________
Phone number: Home: _________________________ Office: _______________________
When is the best time to reach you? ____________________________________________
Emergency contact:
Name/Relationship: __________________________________________________________
Phone number: Home: _________________________ Office: ________________________
E-mail address: _________________________________ Birthdate: _________________
Do you have previous experience with horses and ponies? Please specify.
__________________________________________________________________________
__________________________________________________________________________
List any other skills or training you have which may be of benefit to our program:
___________________________________________________________________________
___________________________________________________________________________
Please check the area(s) which most interest you:
____Sidewalker/leader during lessons ____Publicity ____Equipment care
____Office/administrative ____Fundraising ____Other_________________
Please indicate the lesson(s) you are able to assist with as a regular (weekly) volunteer:
Lessons last one (1) hour for all our riders.
Sunday: 1:00 ______ 2:00 ______ 3:00______ 4:00______
Monday: 2:30 ______ 3:00 ______ 4:00______ 5:00______
Tuesday: 3:30 ______ 4:00 ______ 5:00______ 6:00______
Wednesday: 3:30 ______ 4:00 ______ 5:00______ 6:00______
Thursday: 3:00 ______ 4:00 ______ 5:00______ 6:00______
Friday: 3:00 ______ 4:00 ______ 5:00______ 6:00______

By signing below, I agree to indemnify, defend, and hold harmless Hope Springs Equestrian Therapy,
Inc. and Green Lane Farm, and their respective employees, agents, and representatives, from and
against all claims, demands, causes of action, losses, costs, and expenses (including reasonable
attorneys' fees) (collectively, "Losses") arising in favor of any person on account of or as a result of
my negligence or willful misconduct, or bodily injury and property damage resulting from or incident
to my involvement with Hope Springs Equestrian Therapy, Inc.

_______________________________________ _________________________
Volunteer's Signature Date Signed
   
_______________________________________ _________________________
Parent or Guardian's Signature Date Signed
 

Please return volunteer sign-up sheet to:
Hope Springs Equestrian Therapy
P.O. Box 156, Chester Springs, PA 19425
(610) 469-6220
www.hope-springs.org

Thanks for volunteering at Hope Springs!