Volunteer Form 2025-Rising Starr Horse R

Volunteer Form 2025

Rising Starr Horse Rescue 93 Silver Spring Road Wilton, CT 06897 www.Risingstarrhorserescue.org (203)762-6046 or (203)257-8345

First name

Last name

Street Address

City

State

Zip Code

Age

Phone Number #1

Self/Parent/Guardian Name (if under 18):

Emergency Contact Phone Number

Briefly, what experience do you have caring for and working with horses?

Any allergies or medical background that we should be aware of?

Note: Children ages of 5 through 12 must be accompanied by a parent volunteer.

I/We __________, parent(s) or legal guardian(s) of_______________________ (self/child), by enrolling myself or my/our child in RSHR Corp. Volunteer Program, certify that I/we acknowledge and accept the General Statutes of Connecticut Title 52.

Statute of Limitations Conn. Gen.Stat.s52-577p (1994):

Assumption of risk by person engaged in recreational equestrian activities, when each person engaged in recreational equestrian activities shall assume the risk and legal responsibility for any injury to his person or property arising out of the hazards inherent in equestrian sports, unless the injury was proximately caused by the negligence of the person providing the horse or horses to the individual engaged in recreational equestrian activities or the failure to guard or warn against a dangerous condition, use, structure or activity by the person providing the horse or horses or his agents or employees.

I/We hereby release RSHR Corp. and any staff members affiliated with RSHR Corp. from any responsibility for any occurrence which may result in injury, death, or other damages. I/We further state that I/we are of lawful age and competence to sign this affirmation and release, and that by signing I/we understand the terms therein.

I/We assume all responsibility for (my/child's) ___________ physical fitness and capabilities to perform under normal conditions of the RSHR Corp. Volunteer Program.

In witness whereof I/we have executed this affirmation and release on this _____day of ____________ 2023.

My Signature

Parent or Guardian Signature(s) (under 18)

Photo Release:

I give permission for RSHR to use photos including my son/daughter named above for the webpage or other publicity that may involve photos such as the RSHR newsletter, flyers, brochures etc. At no time will RSHR use photos on the Internet except for the Farm webpage, Instagram, and Facebook.

Parent/ guardian signature as approval

ALL VOLUNTEERS MUST WEAR CLOSE-TOED SHOES OR BOOTS

We ask that you provide 24 hours’ notice for any time that will be missed so that we may plan accordingly.

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