Volunteer Application for Adults

Please note that volunteers are asked to pay a one-time $40 Volunteer Training Fee*, which supports the training, safety, and care that make our equine-assisted program possible, including our horses, instructors, and learning materials, and includes an official Volunteer t-shirt to be worn during each volunteer shift. We never want finances to be a barrier to volunteering—assistance is available upon request and handled with care.

* The Volunteer Training Fee supports our nonprofit mission and may be tax-deductible to the extent allowed by law (excluding the value of the Volunteer t-shirt).

General Information

First Name

Last Name

Preferred name for Name Badge

Date of Birth

Address

Address Line 1

Address Line 2

City

State

Zip

Country

Home Phone

Cell Phone

Work Phone

Email

How did you hear about us?

Other (Please indicate your availability)

If other, please list here

Do you have previous experience working with individuals with special needs?

Yes

No

If yes, list experience including dates, organization's name, location, and work performed

Horse Background

Do you have experience with horses?

Yes

No

If yes, list experience including dates, location, and work performed

Level of horse expertise

None

Beginning

Intermediate

Expert

Character & Horse Experience References

You are not obligated to list any references, but may be helpful in determining your volunteer position. Please list up to two.

First Name

Last Name

Relationship

How long known

Phone

Email

Add more?

Yes

No

First Name

Last Name

Relationship

How long known

Phone

Email

Employment History

Currently not employed

Present Employer

Address

How long have you been employed?

Did you know that many employers will match your volunteer hours in donations to the non profits where you volunteer? Some also match monetary donations dollar for dollar. Are you willing to check with your and/or your spouse's employers' HR department to see if they offer such a program?

Yes

No

Background Information

Have you ever been arrested, convicted or pleaded guilty to a crime?

Yes

No

If yes, explain

Have you ever been accused, charged, alleged to have or have you ever committed any act of neglect, abusing, molesting or battering and child or adult?

Yes

No

If yes, explain

Have you ever voluntarily left or been asked to leave a role within an organization due to concern regarding inappropriate conduct with minors or adults?

Yes

No

If yes, explain

Background Check Authorization

Required for individuals 18 years and older.

Volunteer's Name:

I authorize SoléAna Stables to receive information from any law enforcement agency, including police departments and sheriff’s departments, of this state or any other state or federal government, to the extent permitted by state and federal law, pertaining to any convictions I may have had for violations of state or federal criminal laws, including but not limited to convictions for crimes committed upon children or animals. I understand that such access is for the purpose of considering my application as a volunteer, and I expressly DO NOT authorize the SoléAna Stables, its directors, officers, employees or other Volunteers to disseminate this information in any way to any other individual, group, agency, organization or corporation.

Please sign your full name

Date

Information Needed for Background Check

Print Applicant's Full Legal Name

Print Maiden Name or Any Alias

City, State & Country of Birth

Date of Birth

Gender

M

F

Driver's License #

State Issued In

Physical Information

Height

Can you jog for short distances?

Yes

No

Can you walk for 60 minutes?

Yes

No

Can you lift 40 pounds?

Yes

No

Can you stretch in all directions?

Yes

No

Can you support your arms above your shoulders?

Yes

No

Do you have allergies, asthma or medical problems which would affect your ability to work with horses or in a barn environment?

Yes

No

Are you able to work in all environmental elements?

Yes

No

Health History

Allergies

Type NA if not applicable

Medications

Type NA if not applicable

Medical Release and Authorization

Volunteer's Name:

In the event emergency medical aid/treatment is required due to illness or injury while being on the property of the agency, I authorize SoléAna Stables and/or Silver Spur Stables to:

Secure and retain medical treatment and transportation, if needed.
Release participant records upon request to the authorized individual agency involved in the medical emergency treatment.

In case of an emergency, please contact: (must be a local contact)

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Cell Phone

Relationship

Physician's Name

Physician's Phone

Preferred Medical Facility

Health Insurance Company

Policy #

In case of emergency

I CONSENT to emergency medical treatment. (Please read and sign consent plan below.)

I DO NOT consent to emergency medical treatment. (Please read and sign non-consent plan below.)

Consent Plan

This authorization includes x-ray, surgery, hospitalization, medication, and any treatment procedure deemed "lifesaving" by the physician. This provision will only be invoked if the person listed as “emergency contact” is unable to be reached. I agree to pay for or arrange insurance payment for costs and claims SoléAna Stables/Silver Spur Stables incurs or becomes liable to pay for all medical aid, treatment, and procedures arising from any illness or injury covered by this authorization.

Please sign your full name

Date

Non-Consent Plan

I do not give my consent for emergency medical treatment/aid in the case of illness or injury during the process of receiving services or while being on the property of the agency, SoléAna Stables/Silver Spur Stables. In the event emergency treatment/aid is required, I WISH THE FOLLOWING PROCEDURES TO TAKE PLACE:

Non-Consent

Please sign your full name

Date

First Name

Last Name

Email

Please type your initials by each statement and sign and date at the end.

Confidentiality - For Lesson Volunteers: All participant records are considered confidential and can only be accessed by a staff member. If you feel you need more information about a participant you work with, please take the time to learn more about the participant by checking the Participant Profile Binder. Do not hesitate to ask the instructor before class if you have additional questions.

Please keep any information you learn about a participant to yourself and use for class only. Ask before taking pictures.

Initials

Attendance - For Lesson Volunteers: Regular attendance is very important to the success of our Participants and program. Lessons may need to be canceled due to lack of Volunteers, causing disappointment and distress to the Participants. Some have asked if they can volunteer for two lessons in a row and the answer is YES!

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Friendships at the Barn - For Lesson Volunteers: Please make lots of friends, make people feel welcome, but keep personal conversations out of the arena during a lesson. Focus should always be on the Participants.

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Not here for Horse Time - For Lesson Volunteers: Always be attentive to Participants. No petting equine while tied up. Our equine work hard during lessons and require down time.

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Punctuality: Please arrive on time! Our staff and Participants rely on us to be ready for them upon arrival.

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Absences: Please notify the Volunteer Coordinator -- at volunteer@soleanastables.org or call/text Sasha (208) 841-9265 at the earliest possible time so that another volunteer can be contacted to fill your slot (ideally at least 24-48 hours in advance). If you are able to find a replacement for your shift this is a great help to our team.

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Lesson Cancellation: Lessons will only be canceled if there is extreme cold or heat, or dangerous weather conditions exist. Please do not assume that a lesson is canceled – the Volunteer Coordinator will contact you immediately when a decision is made to cancel lessons.

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Do not come into arena until a SoléAna Stables staff member says it’s ok.

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Attire: Long pants, shorts, leggings are appropriate. A SoléAna Stables volunteer t-shirt is mandatory. No sandals or open-toed shoes are allowed for your safety and the safety of any visitors you may invite to the barn. With colder weather bring gloves and wear warm socks!

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Do not wear dangling jewelry. Perfume and cologne should also be avoided.

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Bring plenty of water, especially in the summer.

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Children/Pets: For safety reasons, unsupervised children are not allowed at SoléAna Stables. Pets are also not allowed. If you have a service animal please contact the Volunteer Coordinator prior to bringing them to the barn.

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NON-SMOKING/VAPING FACILITY: SoléAna Stables is a non-smoking facility and has zero tolerance for smoking or vaping on-site.

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I have read and understand the above guidelines.

Volunteer's Name:

Date

Text Input

Please sign your full name

First Name

Last Name

Email

Confidentiality Agreement

SoléAna Stables operates on the foundation of integrity and respect for the dignity of all people. This statement of confidentiality is to inform all volunteers of their responsibility to ensure that a breach of confidentiality does not occur.

Confidential information includes but is not limited to:

Participants' medical records, diagnosis and medical history
Participants' financial information
Any information in a participants' file regarding family members
Volunteer or employees' personal file
All financial information about SoléAna Stables
All donor & donation information, including but not limited to: address, phone number, email, business, amount of lists, mailing lists, including names, addresses, phone numbers, email addresses and business information donation and purpose.
Any network information, including but not limited to: committee members lists, newsletter lists, mailing lists, including names, addresses, phone numbers, email addresses and business information

This information may exist in the form of computer - based systems or written, pictorial, graphic or auditory form.

I agree not to disclose confidential information to third parties not affiliated with SoléAna Stables, except as required by law. I agree not to discuss or otherwise disclose confidential information unless absolutely necessary while acting within the course and scope of my duties. ALL SUCH DISCUSSIONS SHALL BE LIMITED TO ONLY THE APPROPRIATE PERSONNEL AND STAFF WHO HAVE A NEED TO KNOW SUCH INFORMATION IN THE DELIVERY OF PROFESSIONAL SERVICES.

I understand the above statement on inappropriate disclosure of confidential information. I recognize as a staff member, volunteer or participant that corrective actions, up to and including discharge will be implemented if inappropriate disclosure occurs.

Please sign your full name

Date

Photo and Video Release

Photo & Video Release - Choose one

I consent to and authorize

I do NOT consent to NOR do I authorize

The use and reproduction by SoléAna Stables of any other audio / visual materials taken of me for distribution to the public for promotional printed materials, educational activities, exhibitions, including website and other social media or for any other use for the benefit of the program.

Signature of Volunteer

Date

Social Media Agreement

SoléAna Stables appreciates volunteers' enthusiasm in sharing the amazing strides our participant’s are taking as a part of this program. However, we ask that you consult with the SoléAna Stables Instructor or Executive Director before posting any videos/pictures or other information on social media. Not everyone in our program is open to sharing their personal experiences on social media and we want to make sure we respect their privacy.

I agree to request permission from the SoléAna Stables Instructor or Executive Director before posting personal videos/pictures or other information online that I may capture or be featured in and/or before referencing SoléAna Stables.

Signature of Volunteer

Date

SoléAna Stables - Liability Release Agreement

WARNING UNDER TEXAS LAW (CHAPTER 87, CIVIL PRACTICE AND REMEDIES CODE), AN FARM ANIMAL PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR DEATH OF A PARTICIPANT IN FARM ANIMAL ACTIVITIES RESULTING FROM THE INHERENT RISKS OF FARM ANIMAL ACTIVITIES. The information contained in this application is correct to the best of my knowledge I authorize any references listed in this application to give you my information (including opinions) that they may have regarding my character and fitness for working with minors and individuals with disabilities I acknowledge the risk and potential for risk of working with and around horses I hereby, intending to be legally bound for myself, my heirs and assigns, executors or administrators, RELEASE, WAIVE AND DISCHARGE, SoléAna Stables, a Texas non - profit 501c3 Corporation, its Owners, Employees and Board of Directors, from ALL liability, and any and all possible causes of action in law or in equity that may arise from injury, including but not limited to injury, damage or other misfortune resulting from any recreational or educational activity, including, but not limited to grooming, walking or leading, horseback riding, or group activity which may take place at the stables or at other locations.

I am fully aware that there is an element of risk of injury, damage or other misfortune associated with these recreational and educational activities I accept the risk of such activities, and am aware that such activities are for the recreation, sport, therapy or education, and undertake them voluntarily as the possible benefits are greater than the risk assumed.

I further agree to INDEMNIFY AND HOLD HARMLESS SoléAna Stables, it's Board of Directors, Instructors, Therapists, Aides, Volunteers, and / or Employees / Contractors for any injuries and / or losses I may sustain while volunteering at SoléAna Stables I do hereby for myself, heirs, personal representatives and agents forever release and discharge any claims, demands, actions or lawsuits that may occur as a result of negligent, but not reckless or intentional conduct during my participation.

By signing below, I ACKNOWLEDGE that I enter into this release after having read the same, and place my signature hereto of my own free voluntary act and deed. By signing below, I represent to SoléAna Stables that I fully understand its contents, that I do not need any further explanation, and I waive any further explanation.

I have read and understand the above release and indemnity agreement.

Signature of Volunteer

Date

Silver Spur Stable Liability Release

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT READ THIS AGREEMENT CAREFULLY BEFORE SIGNING IT. YOUR SIGNATURE INDICATES YOUR UNDERSTANDING OF AND AGREEMENT TO ITS TERMS BY SIGNING THIS AGREEMENT, YOU (AND YOUR CHILD) ARE GIVING UP CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO RECOVER DAMAGES IN CASE OF INJURY, DEATH OR PROPERTY DAMAGE FOR ANY REASON INCLUDING, BUT NOT LIMITED TO, THE NEGLIGENCE OFTHE TRAINER, THE STABLE, ITS OWNERS,EMPLOYEES AND AGENTS (“THE RELEASEES”).

I,

Volunteer's Name:

Reside at (street address)

Address Line 1

Address Line 2

City

State

Zip Code

Country

Phone/Mobile

In consideration for allowing me (or my minor child) to enter and/or be present upon the premises located at 1226 County Road 45 in Angleton, Texas, and/or in consideration of being allowed to handle, be in the vicinity of and/or ride any wild or domestic animal (including, without limitation)a horse the undersigned agree(s) on his, her, or their own behalf and on behalf of any person present on the premises brought, invited, or permitted to be on premises by the undersigned (including, without limitation, and minor or compromised or any person found by any Court or authority to be incompetent to bindingly execute a release and indemnity on his, her, or their own behalf) and my, our, or their guardian(s), personal representative(s), heir(s), next-of-kin, spouses and assigns,THE UNDERSIGNED HEREBY:

Acknowledge that a horse or mule may, without warning or any apparent cause, buck, stumble, fall, rear, bite, kick, run, make unpredictable movements, spook, jump obstacles, step on a person’s feet, push or shove a person, saddles or bridles may loosen or break - all of which may cause the rider to fall or be jolted resulting in serious injury or death to the Undersigned or any person within close proximity of a horse.
ACKNOWLEDGE THAT HORSEBACK RIDING, THE HANDLING OF AHORSE OR BEING IN CLOSE PROXIMITY TO A HORSE IS AN INHERENTLY DANGEROUS ACTIVITY AND INVOLVES RISKS THAT MY CAUSE SERIOUS INJURY AND INSOME CASES DEATH because of the unpredictable nature and irrational behavior of horses, regardless of their training or past performance.
Voluntarily assume the risk and danger of injury or death inherent in the handling or riding of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided to me by Silver Spur Stables, LLC.
RELEASE, DISCHARGE AND PROMISE NOT TO SUE: Silver Spur Stables, LLC for any loss, damage, injury (including death) or cost to me or my child’s arising out of the handling or riding of a horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse, and use of saddles, bridles, equipment and gear provided by Silver Spur Stables, LLC.
RELEASE Silver Spur Stables, LLC from any claim that such Silver Spur Stables, LLC were negligent in connection with my or my child’s riding a horse including but not limited to training or selecting horses, maintenance, care, fit or adjustment of saddles or bridles, instruction on riding skills or leading and supervising Participants or the use of any equipment provided by SilverSpur Stables, LLC or being on the premises of the Stable, which resulted in loss, damage, injury or death.
INDEMNIFY, AND SAVE AND HOLD HARMLESS Silver Spur Stables, LLC from and against any loss, liability, damage or cost they may incur arising out of or in any way connected with either my or my child’s handling or riding the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse and/or and use of saddles, bridles, equipment and gear provided therewith from or contributed to by my or my child’s own negligence.
Agree to abide by and follow any instructions given or rules established by Silver SpurStables, LLC is with regard to my or my child’s riding or handling of the horse or being in close proximity to a horse or on the premises of the stable or the failure to wear a protective helmet when riding a horse or any saddles, bridles, equipment and gear provided therewith.
The Undersigned expressly agrees that the foregoing release and waiver of liability, assumption of risk, and indemnity agreement is governed by laws of the State of Texas and is intended to be as broad and inclusive as is permitted by Texas law, and that in the event any portion of this Agreement is determined to be invalid, illegal, or unenforceable for any reason, the balance of the Agreement shall not be affected or impaired in any way and shall continue in full legal force and effect.
Acknowledge that this document is a contract and agree that if a lawsuit is filed againstSilver Spur Stables, LLC for any injury or damage in breach of this contract, the Undersigned will pay all attorney’s, court fees and all costs incurred by Silver Spur Stables, LLC in defending such an action.
IT IS RECOMMENDED THAT I, MY CHILD, AND ALL PARTICIPANTS WEAR A PROTECTIVE HELMET. IT IS MY UNDERSTANDING THAT A PROTECTIVE HELMET IS AVAILABLE AND HAS BEEN OFFERED FOR MY OWN OR MY CHILD’S SAFETY. I (AND FOR MY CHILD) DECLINE TO WEAR A HELMET (PLEASE INITIAL HERE):

Initials

I agree to hold harmless, RELEASE, DEFEND, and INDEMNIFY the RELEASED PARTIES of and from all past, current and future claims, causes of action and legal liability that I and/or my minor child(ren) or ward(s), or any person claiming by, through, or under any of them, may have against them including any causes of action for our bodily injuries, death or property damage, even if same are wholly caused as a result of any negligence or gross negligence on the part of any of the Released Parties and even if resulting from any activities not inherent to the risks of equine activities and this agreement to indemnify the Released Parties includes an agreement to indemnify them for any claims brought by any third parties as a result of such above referenced injuries and damages suffered by me (or my minor child(ren) or ward(s)) including any claims brought by any hospital, medical provider, insurance company, governmental agency or any claims by any third party (sued by us for our injuries and damages) seeking contribution from theReleased Parties. If our Guest should suffer any damages for bodily injuries, death or property damage while on Silver Spur Stables, LLC premises and/or while at any offsite event involving any equine activities and/or while traveling with any Released Parties to/from any such offsite event then – even if such injuries and damages are wholly caused by any negligence or gross negligence on the part of any Released parties – I nevertheless agree that (a) if the Guest sues me I shall not see contribution from the Released parties; (b) if the Guest sues the Released Parties I shall defend and indemnify the Released parties for such claims; (c) if the Guest sues a third party who then seeks contribution from the Release Parties I shall defend and indemnify the Released Parties for such claim.

I have read this document. I understand it is a promise not to sue and to release and indemnify the Trainer, the Stable, its owners, employees and agents for all claims. I have made a free and deliberate choice to sign the Release and Waiver as a condition to SilverSpur Stables, LLC allowing me or my child to ride or handle a horse. I have concluded that the risks involved and the Release and Waiver of Liability is worth the pleasure of horseback riding experience and acknowledges that the same is valuable consideration for this Release and Waiver of Liability. I further waive and relinquish all claims of any kind against any person benefitting from this Release and Indemnity and extinguish and relinquish as of the date this instrument is signed, any claim I might have against any beneficiary hereof. I further agree that I, or my estate, shall hold harmless and indemnify any beneficiary hereof from any claims, due, debt liability, judgment, or obligation of any description to any person who is or claims to be entitled to any benefit or recovery of any kind as a result, directly or indirectly, of my presence or their presence, or that of any property owned, possessed or controlled by any of us, on the aforementioned premises or resulting from any activity or condition exiting thereon, including, without limitation, and injury or damages resulting directly or indirectly from any wild or domestic animal, or from any act or omission of any beneficiary hereunder or act or omission of any agent, servant, employee, or representative of any beneficiary of the waiver, relinquishment, release and/or indemnity hereunder.The releases, waivers, relinquishments and indemnities contained herein are in addition to all exemptions under any applicable law benefitting SILVER SPUR4STABLES, its owners, managers, agents, servants, employees, or representatives.

NOTICE

Any and all guests or other persons to be admitted to premises by, or at the request of,

Volunteer First Name

Volunteer Last Name

or his, her, their, or its agents, servants, employees or representatives must be registered in writing with SILVER SPUR STABLES before coming on premises. Such registration must be approved in writing by the signature of the undersigned.

Signature of Volunteer

Date

Volunteer Training Fee $40 Per Person*

The Volunteer Training Fee supports the training, safety, and care that make our equine-assisted program possible, including our horses, instructors, and learning materials, and includes an official Volunteer t-shirt to be worn during each volunteer shift. We never want finances to be a barrier to volunteering—assistance is available upon request and handled with care.

* The Volunteer Training Fee supports our nonprofit mission and may be tax-deductible to the extent allowed by law (excluding the value of the Volunteer t-shirt).

Fee Selection

I am paying for myself

I am paying for myself and the following individual(s)

Someone else is paying for me

I would like to be contacted confidentially about assistance with the Volunteer Training Fee

Name of the Person Paying for You

Number of Volunteers

I would like to cover the 3% credit card processing fees.

Yes

No

Total Training Fee

Volunteer Names (You can add more names by clicking the + sign)

Volunteer Name

Pay with Card

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Payment Summary: Fee selection hasn't been made, the total number of volunteers hasn't been filled, or you are not required to make the payment at this time.

Volunteer Application for Adults

General Information

Horse Background

Character & Horse Experience References

Employment History

Background Information

Background Check Authorization

Information Needed for Background Check

Physical Information

Health History

Medical Release and Authorization

In case of an emergency, please contact: (must be a local contact)

Consent Plan

Non-Consent Plan

Confidentiality Agreement

Photo and Video Release

Social Media Agreement

SoléAna Stables - Liability Release Agreement

Silver Spur Stable Liability Release

Volunteer Training Fee $40 Per Person*

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