Volunteer Information Form

LifeStriders

Phone: 262.565.6124
Fax: 866.404.3105
striders@lifestriders.org

Sll W29667 Summit Avenue (US HWY 18)
Waukesha, WI 53188


Yes No

Photo Release
I consent to authorize the use and reproduction by LifeStriders Inc. of any and all photographs and any other audio/visual materials taken of me for promotional material, educational activities, exhibitions or for any other use for the benefit of the program.




VOLUNTEER AUTHORIZATION
FOR EMERGENCY MEDICAL TREATMENT

In the event emergency medical aid/treatment is required due to illness or injury during the process of volunteering, or while being on the property of the agency, I authorize a representative of LifeStriders to secure and retain medical treatment and transportation if needed.

In the event of an emergency, Please notify:


LifeStriders

Phone: 262.565.6124 Fax: 866.404.3105 striders@lifestriders.org
Sll W29667 Summit Avenue (US HWY 18) Waukesha, WI 53188

Volunteer Form

Volunteer Information

Volunteer and Guests Liability Release

As a volunteer at LifeStriders: I acknowledge the risk of a horseback-riding program. However, I feel that the possible benefits to myself and the clients I work with, are greater than the risk I assume. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators waive, and release forever all claims for damage against LifeStriders Inc., its Board of Directors, instructors, therapists, volunteers, and or employees for any and all injuries and or losses I may sustain, while participating in LifeStriders program. All Volunteers and guests (guests = participants, siblings, parents, other relatives, friends) entering LifeStriders premises understand that they will be in contact with animals, and assume the risk of injury, and that it is possible that I or my guest(s) be bitten, scratched, and/or otherwise injured while on LifeStriders premises. I also understand that I or my guest(s) may be exposed to equine and/or other animal illness and disease and that it is also possible that I or my guest(s) could indirectly expose other animals to such illness and disease. My signature to this liability release attests to my, and my guest(s) intent to hold harmless and release from all liability against LifeStriders Inc., its Board of Directors, instructors, therapists, volunteers, and or employees for any and all injuries and or losses I or my guest(s) may sustain, while attending LifeStriders premises.


(if volunteer is under age 18)


Consent Plan

This Authorization includes x-rays, surgery, hospitalization, and medication and any treatment deemed “life saving” by the physician. This provision will only be invoked if the person above is unable to be reached.
Print Name: _________________________________________________________________
Date ___________________ Consent Signature ____________________________________
(Volunteer Parent or Guardian if volunteer is under age 18)

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 volunteering or while on the property of the agency. In the event that emergency treatment/aid is required, I wish the following procedure to take place:
_____________________________________________________________________________
Print Name: _________________________________________________Date ______________
Non-Consent Signature _______________________________________ Date ______________
(Volunteer Parent or Guardian if volunteer is under age 18)

SAFETY RULES

LifeStriders strives to provide a safe riding experience for all of our participants and requires that all participants, families and volunteers abide by our safety regulations. Please review and sign our safety rules.

  • Please reserve parking in front of the building for Riders and Participants. Volunteer and Staff parking is available along the side and rear of the building.
  • To avoid traffic jams in the driveways please arrive earlier than your designated class time.
  • Parents/caregivers must keep siblings, friends and relatives of the rider in the Viewing Areas.
  • Please do not bring pets.
  • When a volunteer escorts a rider to the parents/caregiver, upon class completion, the parents/caregivers need to contain the rider to the Viewing Areas
  • Parents/caregivers will be solely responsible for their rider before and after arena/therapeutic riding time is completed
  • Parents/caregivers please walk to the gate to meet your rider after they have dismounted the horse. Once riders are done with arena/therapeutic riding time, parents/caregivers are asked to please help their rider with feeding treats to the horses.
  • Parents/caregivers need to remain on LifeStriders premises during therapeutic riding and/or Social skills group sessions.
  • For training and safety purposes, we ask that volunteers and participants NEVER HAND FEED THE HORSES.
  • Hitting or kicking of horses is NEVER allowed, and will result in dismissal from the program.
  • NO guns, knives, weapons or violence of any kind are allowed on LifeStriders premises. This is a zero tolerance rule. Violators will be asked to leave and not allowed to return.
  • Please do not climb or lean on any fences, gates or doors.
  • No one is to enter the Barn Manager’s apartment or other buildings on the property, other than the barn.
  • In order to ensure the safest riding conditions, we ask that children and visitors refrain from screaming, running, or ball playing on the premises.
  • Only the rider and staff/volunteers are allowed in the teaching arena, unless parent or health care professional presence is requested by instructor.
  • Please refrain from giving the riders instructions that are not in line with the instructors directions.
Attire
  • A helmet must be worn by all riders at all times during the lesson hour.
  • Riders MUST wear long pants to ride, jeans are preferred.
  • All Riders must wear shoes. No one will be allowed to ride or be around the horses if they are bare foot or in sandals. We prefer the shoes have a ¼” heel rather than tennis-type shoes. Volunteers must wear sturdy non-opened toed shoes. We do not recommend steel-toed shoes.
  • Volunteers- Please refrain from wearing clothes that is too tight or revealing- No tank tops, bra tops etc.

I have read and understand LifeStriders Safety Policy

Volunteer Signature: _____________________________________________ Date_________

Participant Signature: ____________________________________________ Date_________

Parent/Guardian Signature: ________________________________________ Date_________

DISMISSAL OF VOLUNTEERS AND GUESTS FROM CENTER ACTIVITIES

LifeStriders relies greatly on volunteers as important members of the team who provide services to and assist our clients. We also recognize the extreme importance of the safety and well-being of our clients, volunteers, staff, guests and animals. All Volunteers and guests (guests = participants, siblings, parents, other relatives, friends) are expected to follow LifeStriders rules and policies and may not engage in disruptive, unsafe or inappropriate behavior. In the event a volunteer or guest does not comply, the following actions may be taken:

  • Level 1 : Verbal Warning


    Breaking of LifeStriders rules and /or policies and procedures may be followed by a verbal warning from LifeStriders Staff to be documented in the incident report book.

  • Level 2 : Written Warning


    Breaking of LifeStriders rules and/or policies and procedures for a second time will be followed by a Personnel/Staff meeting for discussion regarding the infraction. The purpose of the meeting is to determine the exact reason the infraction occurred for second time and discuss with the volunteer/guest how to avoid the circumstance ever occurring again. This meeting will be documented and placed in the incident report book.

  • Level 3 : Dismissal from Organization


    Immediate dismissal from the property and organization will occur for:

    1. Endangering the safety of others
    2. Inappropriate use of the facilities, mailing lists or monies
    3. Disruptive or abusive behavior to the animals or individuals at LifeStriders
    4. Repeated disregard of the organizations rules, policies and procedures
    5. Possession of a weapon, illegal drugs or a paraphernalia
    6. Being under the influence of alcohol or drugs

DISMISSAL OF VOLUNTEERS AND GUESTS FROM CENTER ACTIVITIES (Continued)

I have read and understand the policies and program rules by which LifeStriders operates. By signing below, I indicate my willingness to abide by these rules and policies. I further understand that failure to comply with these policies and rules will result in discharge from the program.

VOLUNTEER REGISTRATION

Thank you for inquiring about volunteer opportunities at LifeStriders. Please review the following positions available. Applicants may sign up for more than one position per session.

  • Side Walker/ Leader

    In order to ensure safety and continuity of service for our clients, LifeStriders aims to have three committed volunteers per rider. We require prospective volunteers to commit to 1 lesson a week (minimum) for an 6-8 week session that they can attend regularly. This way we are sure not to disappoint a child or rider who has eagerly been waiting to ride all week long.
    Side walkers and Leaders assist in therapeutic riding classes as well as horse care. We need interested people willing to commit to an ongoing volunteer position (6-8 weeks). Interested volunteers will be provided training.


    Skills and requirements: Must be at least 13 years old. Must be able to walk for 45 minute sessions and not be afraid of horses. Horse experience preferred but not required.


    If this hands on, rewarding experience sounds like something you would like to experience, please visit the VolunteerSpot link on our web-site to sign up for the day (s) and time(s) you are willing to volunteer for!

  • Barn helper /grounds management

    This ongoing volunteer position assists the barn manager with various horse care and barn chores and basic grounds keeping. Helpers also assist with preparing horses for lessons (grooming, tacking etc.) and assisting instructors set up arenas or other jobs as needed


    Skills and Requirements: Must be at least 12 years of age and not afraid of horses. Horse experience or work with disabled individuals is not required, but is a plus.


    If this hands on, rewarding experience sounds like something you would like to experience, please visit the VolunteerSpot link on our web-site to sign up for the day (s) and time(s) you are willing to volunteer for!

  • Grant Writing/Marketing/Fundraising

    This ongoing position assists staff write and submit grant applications, plans and coordinates fundraising events and works to help staff with special events. Flexible hours, work from home or in office.

Checklist

Please keep this checklist, and bring it with you to your orientation. As you are instructed in certain fields, please ask your instructor/volunteer to initial the related checkbox. Please alert staff if you have been unable to receive training in all fields. Please hand in to staff when your checklist is complete.