Phoenix Rising Equine Rescue, Inc.
(A Connecticut State Non-Profit Corporation)
Phoenix Rising Equine Rescue
1 Pinewoods Road
North Stonington, CT 06359
860-599-0555
Susan Browne Kruetter, President
skreutter@comcast.net
Volunteer Liability Release Form
Volunteers Name Date
18 years or older( If no, parent or guardian must sign) Date of birth
Address
City
State
Zip
Home Phone Cell Phone
Email
Hours Available
Volunteer Experience
Horse Experience
Please Indicate if volunteer hours are needed for Community Service or Education Credits for Volunteer service.
Please indicate which activities you would be willing to do.
Fundraising
Cleaning tack
Repairs
Mucking (cleaning stalls)
Feeding
Grooming
Ground Training Horses
Leading Horses
Liability Release (Required)
I Would like to particate as a volunteer at Phoenix Rising Equine Rescue and I acknowledge the risks and potential for all risks associated with Horses care including and not limited to riding, grooming, and leading horses. However I feel the possible benefits to myself/child or ward, I do hereby hold harmless, waive and release forever all claims of damages against Phoenix Rising Equine Rescue, Its board members, volunteers and employees for any and all injuries/losses myself, child or ward sustain while participating in Phoenix Risings Equine Rescue’s Volunteer Program.
The Undersigned acknowledges that he/she has read this release form in its entirely that he/she understands the terms of this release and has signed the release voluntarily and with full knowledge of effects there of.
Date Print Name
Signature