(503) 991-4751

6665 Rickreall Rd. Independence, OR 97351 | P.O. Box 121 Rickreall, OR 97371

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Online Volunteer Application

Your Infomation
Today's Date*
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Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Occupation*
Are you over 14 years old?*
- Yes
- No
At this time we can only accept volunteers 14 years old and older.
Date of birth*
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DD
YYYY
Height*
- under 5'4"
- 5'4" to 5'7"
- 5'7" or above
This is needed to help match volunteers with horses and participants
Emergency Contact
If under 18 y/o please provide information for your parent or guardian.
Emergency Contact Name*
First Last
Emergency Contact Phone*
Emergency Contact Relationship*
Volunteering
How much time are you wanting to commit?*
- 2-4 hours/week
- 6-8 hours/week
What type of volunteering are you interested in?*
- Working with riders
- Working with horses
- Hosting at the barn
- Board committees
- Other
Check all that apply.
What days and hours are you available?*
Experience
No experience is needed, but please fill in the sections that apply to you.
Your experience with horses.
Your experience with people with special needs.
Are you first aid/CPR certified?*
- Yes
- No
Are you willing to have a criminal background check performed?*
- Yes
- No

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Horses Adaptive Riding and Therapy - HART

6665 Rickreall Rd.
Independence, OR 97351, United States
http://horsesadaptiveriding.org

Phone: (503) 991-4751

Para español: (503) 999-9009

Fax: (503) 662-7323

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