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HOOFPRINTS IN THE SAND, INC. (HITS)

Volunteer Application

Birthday
Month
Day
Year
General Volunteer Availability
Please indicate which volunteer opportunities you may be interested in:
Please indicate your horsemanship knowledge, skills, & abilities:
Horsemanship & Riding Experience
Please indicate which of the following equine practices and confidence levels apply:
Please indicate which of the following individuals you have experience with:

CONFIDENTIALITY STATEMENT:

I understand that all information (written and verbal), including participant information, business and financial information of Hoofprints in the Sand, Inc., @ Saltaire is confidential and will not be shared. I acknowledge that I shall have access to only those records that I need in order to perform the duties assigned to me in my specific role at HITS at Saltaire and I agree to refrain from handling or copying any rider’s health records that do not pertain to my responsibilities and obligations. I further understand and agree that I will be suspended or discharged from my position if I am found to be in violation of this Confidentiality Statement. Upon completion of my duties at HITS at Saltaire. I agree to keep confidential all information to which I had access during my association with HITS at Saltaire.

PHOTO RELEASE: Consent to and authorize the use and reproduction by Hoofprints in the Sand (HITS), Inc., @ Saltaire of any and all photographs and any other audio/visual materials taken of me, and/or my name, for promotional material, educational purpose
I Do
I Do NOT

WAIVER, RELEASE AND HOLD HARMLESS AGREEMENT

            In consideration of services provided by ‘Hoofprints in the Sand Inc. @ Saltaire Stables and Farm (1131 Wando Road) and The Headquarters (527 Farmview Lane), Stables, Farm, Pastures, Trails, it’s employees, volunteers, or sub-contractors’ (hereinafter collectively referred to as “Saltaire“ for convenience), I hereby waive and release any claims which I or my assign may have against them or any of them which may arise from or relate to equine-related activity, including but not limited to acts of negligence and/or  those causing or contributing to injury or loss to persons, equines or property. The undersigned acknowledges that horses are unpredictable, large and potentially dangerous animals inherently capable of inflicting injury or harm to other horses, persons or property and assumes all risks of harm from them.

The undersigned agrees to indemnify and hold “Saltaire” harmless from any loss arising from or related to my equine-related activities or presence with “Saltaire”.

            The undersigned acknowledges and agrees to the exclusive choice of law and jurisdiction of the State of South Carolina with respect to any dispute, claim or defense arising hereunder or relating hereto.

WARNING

            Under South Carolina law, an equine activity sponsor or equine professional is not liable for an injury to or the death of a participant in an equine activity resulting from an inherent risk of equine activity, pursuant to Article 7, Chapter 9 of Title 47 Code of Laws of South Carolina, 1976.

APPLICANT’S STATEMENT & AUTHORIZATION FOR RELEASE OF INFORMATION

I certify that the facts set forth in this application are true and complete to the best of my knowledge. I understand that if I am accepted into the Volunteer Services program, false statements may result in my dismissal. I understand that volunteer service at HITS @ Saltaire is ‘at will’, which means that either I, the applicant, or HITS @ Saltaire can terminate the volunteer service relationship at any time, with or without prior notice, and for any reason not prohibited by statute. I understand that as a volunteer I do not receive any form of compensation for the time I spend functioning in the capacity of a volunteer and I authorize HITS @ Saltaire to make an investigation of any of the facts set forth in this application. I hereby give permission to request and obtain data pertinent to volunteering from the references I have supplied. I release from all liability or responsibility all persons and institutions supplying information

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For questions or assistance, please email volunteers@hoofprintsinthesand.org


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