Volunteer Application & Release Form

Volunteers are a vital part of the HorseSense for Special Riders program, which teaches horseback riding to individuals with disabilities. Up to three volunteers are often utilized per rider as a leader and as side walkers. All sessions take place at W4102 Ober Road, La Crosse WI . Minimum age for volunteering is 14 years of age.

Please complete and submit the following form or VolunteerRelease2017.pdf and send to PO Box 906 La Crosse, WI 54602.

Emergency Information
Insurance Information
Sessions/Times you're interested in volunteering for

All volunteers, even previous volunteers, will be required to attend one orientation meeting. Additional training for those interested in horse handling/leader roles, will be offered immediately after each general orientations from 7:00pm - 7:30pm. All orientations will take place at W4102 Ober Rd, Coon Valley WI, at the top of 10 Mile Hill, off of Hwy 14/61. Minimum age for volunteering is 14 years of age (horse leaders must be at least 15 years of age.) 

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ, FULLY UNDERSTAND, AND AGREE TO BE BOUND BY THE PROVISIONS OF THIS REGISTRATION & RELEASE (SEE BELOW).

*By submitting this form, I hereby request permission for the above named applicant (hereafter referred to as the "Participant") to participate In HorseSense for Special Riders.
*I represent and warrant to you that the Participant is physically and mentally able to participate in HorseSense for Special Riders.
*I acknowledge that the Participant will be using Facilities at his or her own risk.
*I specifically grant permission to you to use the likeness, voice and words of the Participant in television, radio, films, newspapers, magazines and other media, and in any form not heretofore described, for the purpose of advertising or communicating the purposes and activities of HorseSense for Special Riders.
*I hereby authorize HorseSense for Special Riders to take such measures and arrange for such medical and hospital treatment as may be deemed advisable for the health and well-being of the Participant in the event the Participant becomes ill or injured at any HorseSense for Special Riders activity and no responsible adult authorized to act on the Participant's behalf is immediately available to be consulted as to appropriate medical care for the Participant.
* In consideration of receiving permission from HorseSense for Special Riders, Inc. ("Sub lessee"), Red Horse Heights (collectively the "Stable") to enter on the premises of the Stable located at at N3046 Cty RD FA La Crosse, Wisconsin, the receipt of which permission is acknowledged, and in consideration of receiving permission to participate in any activities sponsored by or on the premises of the Stable, or to use or otherwise obtain any services or goods offered or sold by, or on the premises of the Stable, the receipt of such permission being also acknowledged, each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, releases the Stable, its owners, officers, agents, servants and employees of and from any and all liability, claims, demands, actions and causes of action whatsoever, arising out or relating to any loss, damage or injury, including death, that may be sustained by any or each of the undersigned and the undersigned's family, guests and invitees or any property of each of the undersigned and the undersigned's family,guests and invitees while in or on the premises of the Stable, or any premises leased to, owned by, sanctioned by, or under the control or supervision of the Stable, or in route to or from any of the premises.
*Each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, being aware of the risks and hazards inherent entering on the premises of the Stable or participating in any activities on or around horses, elects voluntarily to enter on the premises of the Stable, knowing their present condition and knowing that their condition may become hazardous and dangerous during the time that each of the undersigned and the undersigned's family, guests and invitees is on the premises of the Stable. Each of the undersigned, individually and on behalf of the undersigned's family, guests and invitees, voluntarily assumes all risks of loss, damage or injury, including death, that may be sustained by any or each of the undersigned and the undersigned's family, guests and invitees while in or on the premises.
*This release is binding on the undersigned and the undersigned's family, guests and invitees, and their respective heirs, executors, administrators, personal representatives and assigns. In signing this release, each of the undersigned acknowledges and represents that he or she: (1) Has read the foregoing release, understands it and signs it voluntarily; (2) Is 18 years of age or older and of sound mind; (3) Is not an agent, servant or employee of the Stable; (4) Has authority to sign this Release for the undersigned's family, guests and invitees; (5) Will indemnify and hold harmless the Stable for any and all costs and expenses, including attorney's fees arising out of any matters released hereunder.

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