AHEAD With Horses · Liability Release Form

New or Returning Volunteer

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I am a new volunteer completing this for the first time

I am a returning volunteer completing the annual liability form or updating information

Contact Information

Volunteer Name

First Name

Last Name

Volunteer's Email

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Verify Email

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Date of Birth (optional if over 18)

(mm/dd/yyyy)

For Minors

I am under 18, my parent/guardian will need to sign for me.

I am the parent/guardian submitting this for my child.

Parent/Guardian Email (to sign release)

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Verify Email

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Newsletter Sign-up

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Please sign me up for the eNews list

I DO NOT want to receive the eNews (you may still receive email related to volunteering).

Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Primary Phone

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This is a:

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Alternate Phone

This is a:

Provide Details from above (school, NCL chapter, friend, etc.)

Acknowledgements

I voluntarily wish to participate and/or give permission for my child to participate in AHEAD With Horses, Inc. in Shadow Hills, California.

I agree voluntarily to hold harmless and indemnify AHEAD With Horses, the American Vaulting Association, all Board members, instructors, horse owners, agents, employees, property owners, and all entities, heirs and assigns associated with this program. I UNDERSTAND THAT THERE ARE PHYSICAL RISKS INVOLVED IN ANY HORSE-RELATED ACTIVITY. Additionally, I hereby authorize any emergency treatment deemed necessary at no liability or expense to those named above.

I also agree to allow photographs, video, etc. to be taken of me/my child which may be for used for any purpose.

I understand that being in a public location has an inherit risk of exposure to COVID-19. I acknowledge and voluntarily assume the risk that I may be exposed to or infected by COVID-19.

I understand that if I/my child is showing symptoms of Covid (or a cold or flu), have tested positive for Covid, or have been exposed to someone positive for Covid, I/my child should not return to volunteering until I/ my child:

are at least 5 days past onset of symptoms/exposure (onset of symptoms counts as day zero)
mild symptoms have resolved or are improving
have been fever free for at least 24 hours (without use of a fever reducing medication)

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I have read and accept the acknowledgments for myself / my child.

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Typing my name below constitutes my electronic signature.

Electronic Signature

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First Name

Last Name

Parent Email (if completing on behalf of your child)

Verify Email

After you sign and submit an email will be sent to your parent/guardian to also sign