Volunteer Application

Equine-Focused Volunteers (horse leaders)

Equine Volunteers are responsible for controlling the horse during sessions. They warm up the horse before each session, secure the horse during mounting and dismounting, and lead the horse during sessions. Only those volunteers with advanced horse experience will be chosen as an equine-focused volunteer. Their attention and responsibility is on the horse, not the participant.

Participant-Focused Volunteers (side-walkers)

Volunteers focused on participants walk alongside the horse during sessions. They help the participant stay safely on the horse while riding. If the participant is not ready to ride a horse, the side-walker stays with the participant while he/she takes part in petting, combing, or other horse related activities. The main responsibility of the side-walker is to keep the participant safe.

Special Events Volunteers

Event Volunteers help Champ’s Heart to host special events (e.g., sleigh rides, parades, and visiting nursing homes and schools) throughout the year. These events help spread the word about our services throughout the greater Idaho Falls area. During these events, we welcome having extra hands on deck.

Fundraising Volunteers

Fundraising volunteers do not need special volunteer training in order to help with fundraising activities such as helping at displays and booths at fairs or concerts. However, they will be required to attend special training related to fundraising.

**Volunteers under the age of 16 will require parental oversight. Volunteer opportunities will be determined by a senior staff member.

Please list a person who may be contacted in case of an emergency.

Please list the emergency contact person's phone number

Please write the emergency contact's relationship to you:

Please list a second person who may be contacted in case of an emergency.

Please list the emergency contact person's phone number

Please write the emergency contact's relationship to you:

I give Champ’s Heart, and/or its assigns, permission to take reasonable steps to seek medical care and transportation for me, if necessary.
* Your selection constitutes your consent to contact the individuals you listed on this form.

Date of your consent to contact your emergency contact person in case of accident.

ACKNOWLEDGEMENT OF READING TRAINING MANUAL (a link to the manual can be found on this webpage. You are also required to attend Volunteer Training. Please check with coordinator for training dates.)

I acknowledge that I have read the Volunteer Handbook, and have attended volunteer training, and understand that I am responsible for acting in accordance with the policies and procedures outlined therein. I also acknowledge that I have read and understand Champ’s Heart confidentiality policy and understand that I am responsible for acting in accordance with Champ’s Heart policies and procedures related to confidentiality. I understand that Champ’s Heart retains the right to modify or amend the policies and procedures outlined in the Volunteer Handbook and that if changes are made, I will be notified.

I affirm that all of the information in this application is complete and accurate

Yes

As the parent/guardian/caregiver of the applicant under the of 18, I acknowledge they have read and understand fully the rule, roles, and responsibliies of being a volunteer at Champ's Heart.

Yes

***Champ’s Heart reserves the right to deny acceptance of volunteer application..***

RELEASE OF LIABILITY AGREEMENT

I WITNESS THIS AGREEMENT by and between Champ’s Heart Land LLC, hereinafter referred to as Champ’s Heart and myself, hereinafter referred to as VOLUNTEER. For consideration received, and in return for the use, today and on all future dates of the property, facilities and services of Champ’s Heart, Volunteer, Volunteer’s family, assigns, and representatives, hereby agree as follows:

1. Inherent Risks and Assumption of Risk. The undersigned acknowledges there are inherent risks associated with equine activities such as described below, and hereby expressly assumes all risks associated with participating in such activities. The inherent risks include, but are not limited to propensity of equines to behave in ways such as running, bucking, biting, kicking, shying, stumbling, rearing, falling or stepping on, that may result in an injury, harm or death to persons on or around them; the unpredictability of equines reaction to such things as sounds, sudden movement and unfamiliar objects, persons or other animals; certain hazards such as surface and subsurface conditions; collisions with other animals; the limited availability of emergency medical care; and the potential of a participant to act in a negligent manner that may contribute to injury to the participant of others, such as failing to maintain control over the animal or not acting within such participant ability. Volunteer acknowledges that horses, by their very nature are unpredictable and subject to animal whim. Volunteer assumes all risks in connection therewith, and expressly waives any claims for an injury or loss arising therefrom. Volunteer agrees to abide by and follow Champ’s Heart rules and regulations which, shall be posted and/or available from time to time. Volunteer further acknowledges that the behavior of any animal is contingent to some extent upon the ability of Volunteer. Volunteer assumes all risks therefore and warrants a full and fair disclosure of Volunteer’s abilities has been made to Champ’s Heart. Volunteer expressly releases Champ’s Heart from any and all claims for personal injury or property damage, even if caused by negligence (if allowed by the laws of this State) by Champ’s Heart or its representatives, agents, or employees. Warning: Under Idaho Law, an equine activity sponsor or an equine professional shall not be liable for any injury to, or the death of a participant or equine engaged in equine activity except in very limited situations.

2. Volunteer agrees to hold harmless, indemnify, and defend Champ’s Heart against, and hold harmless from, any and all claims, demands, causes of action, damages, judgments, orders, costs or expenses, including attorney’s fees, whether actually incurred or not, which may in any way arise from or be in any way connected with Volunteer’s use of or presence upon the property of Champ’s Heart and the facilities located thereon.

3. In the even Volunteer is using Volunteer’s own horse, or a horse(s) not owned by Champ’s Heart, Volunteer warrants said horse(s) shall be free from infection, contagious or transmittable diseases. Champ’s Heart reserves the right to refuse access or use of any horse upon the premises that does not appear to Champ’s Heart to be in good health or is deemed dangerous or undesirable.

4. Any action brought under this agreement shall be brought within one (1) year of the incident or accident giving rise to said claim.

5. Volunteer agrees to waive the protection of any applicable statutes in this jurisdiction whose purpose, substance and/or effect is to provide that a general release shall not extend to claims, material or otherwise, which the person giving the release does not know or suspect to exist at the time of executing said release. I certify that I have read and consent to this release and liability agreement (If applicant is under the age of 18, a parent/legal guardian or caregiver may certify in their behalf. Please ensure the volunteer understands what you are certifying for them):

I Accept

Please confirm you have read the IDAHO EQUINE ACTIVITIES IMMUNITY ACT at the end of this section.

Equine Activities Immunity Act 6-1802 Limitation of Liability on Equine Activities

(1) Except as provided in subsections (2) and (3) of this section, an equine activity sponsor or an equine professional shall not be liable for any injury to or the death of a participant or equine engaged in an equine activity and, except as provided in subsections (2) and (3) of this section, no participant nor participant’s representative may maintain an action against or recover from an equine activity sponsor or an equine professional for an injury to or the death of a participant or equine engaged in an equine activity.

(2) The provisions of this chapter do not apply to the horse or mule racing industry a regulated in chapter 25, title 54, Idaho Code.

(3) Nothing in subsection (1) of this section shall prevent or limit the liability of an equine activity sponsor or an equine professional:

(a) If the equine activity sponsor or the equine professional:

(i) Provided the equipment or tack and the equipment or tack caused the injury; or

(ii) Provided the equine and failed to make reasonable and prudent efforts to determine the ability of the participant to engage safely in the equine activity, determine the ability of the equine to behave safely with the participant, and to determine the ability of the participant to safely manage the particular equine.

(iii) Owns, leases, rents or otherwise is in lawful possession and control of the land or facilities upon which the participant or equine sustained injuries because of a dangerous latent condition which was known to or should have been known to the equine activity sponsor or the equine professional and for which warning signs have not been conspicuously posted.

(iv) Commits an act or omission that constitutes willful or wanton disregard for the safety of the participant or equine and that act or omission caused the injury.

(v) Intentionally injures the participant or equine.

(b) Under liability provisions as set forth in the products liability laws; or

(c) Under the liability provisions set forth in chapter 9, title 6, Idaho Code.

I certify I have read the IDAHO EQUINE ACTIVITIES IMMUNITY ACT (If applicant is under the age of 18, a parent/legal guardian or caregiver may certify in their behalf. Please ensure the volunteer understands what you are certifying for them):

VOLUNTEER NON-DISCLOSURE AND CONFIDENTIALITY AGREEMENT

Please confirm you have read the VOLUNTEER NON-DISCLOSURE AND CONFIDENTIALITY AGREEMENT at the end of this section. The following confidentiality agreement. I agree to the following rules regarding participant’s rights to confidentiality:
1. I understand that confidential information refers to any identifying information such as a participant’s name, age, birth date/place, telephone number, gender, medical information, personal photos, financial information, family circumstances, or schools and organizations which the person is affiliated with.
2. I understand that I may not share any identifying information verbally, electronically, or in writing, with anyone outside of the Champ’s Heart organization, and that to do so may result in termination of my volunteer service.
3. I agree that I will keep all written and electronic information related to participants on site. I further agree that, after I complete my term of service, I will not retain copies of any written or electronically stored information or take any confidential information regarding participants off site.
4. I understand that, unless a parent, guardian or family member is also a Champ’s Heart volunteer, that I am prohibited from sharing the above personal information with them as well.

I certify I have read the Volunteer Non-Disclosure and Confidentiality Agreement (If applicant is under the age of 18, a parent/legal guardian or caregiver may certify in their behalf. Please ensure the volunteer understands what you are certifying for them):

Volunteer Application

Skills, Abilities, Horse Experience

Emergency Contacts

RELEASE OF LIABILITY AGREEMENT

VOLUNTEER NON-DISCLOSURE AND CONFIDENTIALITY AGREEMENT

MEDIA USE AUTHORIZATION

Childrens Program Hours

Veterans Program Hours