Name:
Email Address:
Telephone Number:
First and Last Name
Year of Birth
Complete Mailing Address: 123 Road, City, State, Zipcode
Primary Phone Number (format: 123-456-789)
Secondary Phone Number
Email Address
Please check all areas you are interested in:
If you selected Other Above, How would you like to Volunteer?
Are you a horse owner and willing to have your horse participate for riding sessions?
Do you have more than one horse you are willing to donate use of during riding sessions?
What is the name of your horse?
What is the age of your horse?
What breed is your horse?
What is the name of the first horse you are willing to donate to use during riding sessions?
What breed is the first horse you are willing to donate for use with riding sessions?
What is the age of the first horse you are willing to donate for use with riding sessions?
What is the name of the second horse you are willing to donate to use during riding sessions?
What breed is the second horse you are willing to donate for use with riding sessions?
What is the age of the second horse you are willing to donate for use with riding sessions?
What is the name of the third horse you are willing to donate to use during riding sessions?
What breed is the third horse you are willing to donate for use with riding sessions?
What is the age of the third horse you are willing to donate for use with riding sessions?
Do you have a CPR certification?
Do you have a First Aid Certification?
Can you walk for 60 minutes and jog for short distances?
Do you have a physical condition or limitation we should consider when assigning responsibilities? If so, please specify under other.
Please specify limitations.
Given a chance to change sides frequently, are you comfortable working or walking around horses/ponies?
Do you have experience with horses/ponies?
Please explain your experiences with horses.
Do you have other skills or training that could benefit the program?
We will be grouping volunteers for the upcoming sessions. Please mark all dates you are available for and willing to assist with. TBD
Are you able to be present for Orientation?
Please explain why you are unable to be present for Orientation.
Additional Comments?
Where did you hear about volunteering with Reins of Hope?
Please explain other.
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