Loudoun Therapeutic Riding Volunteer Application      Loudoun Therapeutic Riding       

General Information



















Parent/Guardian Information (**REQUIRED if volunteer is under the age of 18)













Medical










Releases/Authorizations/Waivers


 

I authorize Loudoun Therapeutic Riding Foundation, Inc. (LTRF) to receive information from any law enforcement agency, including police departments and sheriff’s departments, of the state or any other state or federal government, to the extent permitted by state and federal law, pertaining to any convictions I may have had for violations of state or federal criminal laws, including but not limited to convictions for crimes committed upon children.

 

I understand that such access is for the purpose of considering my application as a Volunteer/Staff Member in LTRF’s program and that I expressly DO NOT authorize LTRF, its directors, officers, employees, or other volunteers to disseminate this information in any way to any other individual, group, agency, organization, or corporation.













 Confidentiality Statement (applicable to volunteers, staff, Board of Directors, other)

§  As a volunteer/staff member/director/workshop participant at LTRF, I am a valuable member of the center community. 

§  I have received and read the Center Information Manual/Volunteer Handbook and Program Policies including confidentiality policy and emergency procedures.

§  I understand and agree that I must hold confidential any personal or medical information regarding participants and/or families, and/or any LTR business information and interests.

§  I agree to abide by all program policies and rules.

§  I may be permanently removed from center activities if I fail to adhere to center policies and rules established for participation.

 




Volunteer Availability:  Please indicate day(s)/time(s) preference below.





Next Steps:

 

Thank you for completing the required application/annual update of your information!  You will now be redirected back to our Volunteer page. We appreciate your support and look forward to seeing you soon. Our Volunteer Coordinator will contact you regarding the schedule once it has been determined.

 

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