Thank you for your interest in volunteering with the VTRA. The following form constitutes the paperwork we ask our volunteers to fill and return to us before they can start volunteering. We appreciate you taking the time to fill it out, and we are looking forward to welcoming you to the team.0
Your Personal Information1
Province*Select your Province7
Email*Your Current Address12
Your Date of Birth*13
Our program runs Mon to Thurs 9:30 to 5:30 and Fridays 9:00 to 12:00. We generally ask that volunteers donate one regular morning or one regular afternoon each week, but we can be flexible on that if a regular day does not suit your schedule. Volunteers wanting to help outside of the lessons (special event, fundraising, tack store, board) can skip this section, we will contact you with further details regarding volunteering times.15
Monday Start Time*16
Monday End Time*17
Tuesday Start Time*18
Tuesday End Time*19
Wednesday Start Time*20
Wednesday End Time*21
Thursday Start Time*22
Thursday End Time*23
Friday Start Time*24
Friday End Time*25
Horses*IF YES, PLEASE PROVIDE DETAILS (e.g., discipline, riding/lunging/horse ownership, past therapeutic riding horse handling, etc.)28
Persons with Disabilities*IF YES, PLEASE PROVIDE DETAILS.29
Children*IF YES, PLEASE PROVIDE DETAILS.30
Medical*IF YES, PLEASE PROVIDE DETAILS.31
Miscellaneous*Any specialty skills or experience you might be interested in contributing to the VTRA.32
Areas of Interest33
Check as many as you want*Please include roles you might not yet have experience for.34
Please read the following policies, and check the boxes at the end to agree.36
Volunteer Standards of Confidentiality37
I recognize that my role as a volunteer with the VTRA will entitle me to certain information about riders which must be treated as confidential. All information given to me by a parent, instructor, aide or rider in relation to a rider will be discussed only with the personnel of the VTRA, and not with other riders, parents, or outside individuals.38
I also accept that all material and papers pertaining to the riders care are legal documents and are strictly confidential.
Volunteer Liability Release39
I acknowledge the potential risks of a horseback riding program. However, I feel that the likely benefits to myself and the clients I work with are greater than the risks assumed. I hereby waive and release forever all claims for damages against the VTRA, its board of directors, instructors, therapists, volunteers and/or employees for any and all injuries and/or losses that I may sustain while volunteering for the VTRA.40
The Victoria Therapeutic Riding Association respects your privacy. We protect your personal information and adhere to all legislative requirements with respect to protecting privacy. We do not release, sell or trade our mailing or membership lists. The information you provide will be used to deliver services, and keep you up-to-date on the activities of the VTRA. It will be available only to staff and officers of the VTRA and not the membership.
If at any time you wish to be removed from any of the contact lists for these activities, simply inform us by telephoning 778-426-0506, or via e-mail at volunteer@VTRA.ca and we will gladly accommodate your request.
I hereby grant the Victoria Therapeutic Riding Association permission to take, or to have taken, still and/or moving photographs and films, including television pictures, of myself.
I also consent and authorize the VTRA, its advertising agencies, news media and any other persons interested in the VTRA and its work, to use and reproduce the films, photographs and pictures and to circulate and publicize the same by all means, including but without limiting the generality of the foregoing: electronic communications, newspapers, television media, brochures, pamphlets, instructional material, books, clinical material and any other printed matter.
I confirm that no inducements or promises have been made to me with regard to the above mentioned material in order to secure my agreement to this release. I understand that the primary purpose and intention of any media use is to promote and aid the VTRA in its work and objectives.
In the event of an emergency, I give permission to the VTRA to secure medical treatment by calling 911 and the person I have designated as my emergency contact.46
Emergency Contact Name*full name50
Emergency Contact Address*51
Contact Home Phone*52
Contact Work Phone*53
Contact Cell Phone*54
Next of Kin Name*full name57
Next of Kin Phone*58
Criminal Record Check59
Our Coordinator of Volunteers will provide you with a link and access code to request a criminal record check online. If you already have one dated within the last 5 years, you may provide a copy.60
Please Choose One*61
Date*When did you obtain your current criminal record check?62
Do you need your volunteer hours tracked?63
Please check yes if you will need the VTRA to keep a record of your volunteering hours. It is recommended you keep track of your hours as well.*64
How did you hear about us?*66