Be a Part of
Something Bigger

Support therapeutic riding, outdoor programs, and meaningful experiences for all ages and abilities

Volunteer Application

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Phone

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Personal Information

Applicaton Date*

MM slash DD slash YYYY

Have you attended volunteer training before*

yes

Your Name*

First Last

Your Phone*

Date of Birth*

MM slash DD slash YYYY

Age (min. 14)*

Please enter a number greater than or equal to 14.

Parent/Guardian Name*

First

Parent/Guardian Phone Number*

Email*

Address*

City*

State*

Zip Code*

School You Attend (If not applicable just leave N/A)*

School Advisor (If not applicable just leave N/A)*

First Last

Place of Employment

How Did You Hear About Us*

Volunteering Opportunities

Therapeutic Riding (Check time and session you're voluneering for)

Avaliable Sessions

Winter Sessions: January 12th - February 26th

Spring Sessions: March 16th - April 30th

Fall Sessions: September 14th - October 29th

Available Times (There are no 6pm classes for winter sessions)

Monday

2pm

Tuesday

3pm

4pm

5pm

6pm

Wednesday

10am

11am

12pm

Thursday

3pm

4pm

5pm

6pm

Summer/Day Camps

Summer Camps (Please check which/how many camps you can volunteer at)

Horse Lovers Camp | May 27th-30th | 7:30am-4:30pm

Adventure I Camp | June 8th-12th | 7:30am-3:30pm

Adventure II Camp | June 22nd-26th | 7:30am-3:30pm

Adventure III Camp | July 6th-10th | 7:30am-3:30pm

Adventure IV Camp | July 20th-24th | 7:30am-3:30pm

Day Camps (7:30am-3:30pm)

March 28th

April 25th

August 22nd

October 24th

T-shirt sizes*

Small

Medium

Large

XXL

XXXL

Experience

Have You Volunteered Here Before*

yes

For How Long*

Have You Volunteered For a Similar Camp*

yes

For How Long*

What Was Its Name*

Select All Certifications/Degrees/Licensures That Apply

Certified Nursing Assistant

EMT

Ropes Course Facilitator

Registered Nurse

Lifeguard

CPR/First Aid

Path Int'l

CHA

What Would Be Your Preferred Volunteer Role (Preferred not Guaranteed)*

Group Leader (21+)

Counselor (16+)

Art

Photography

High Ropes Facilitator (18+)**

Outdoor Adventures Facilitator (18+)**

Barn Helper (Maintenance Cleaning/Grooming/Tacking)

Side Walker (Mature 14+)

Horse Leader (Must have prior horse experience & actively ride)

Grounds Maintenance Crew

Tell Us About Your Experience in this Area***

Check All Fields You Have Experience In*

Team Building

Low Ropes Courses

High Ropes Courses

Music/Puppetry/Drama

Audio/Visual Equipment

Art

Photography

Fishing

Boy Scouts/Girl Scouts

What other Hobbies/Activities Do You Enjoy*

Medical Information

Current Medications (If not applicable just leave N/A)*

Medication You Are Allergic To (If not applicable just leave N/A)*

Emergency Contact Name*

First Last

Relationship*

Emergency Contact Phone Number*

Emergency Contact Name*

First Last

Relationship*

Emergency Contact Phone Number*

Do You Have an Allergic Reaction to Bug Bites or Bee Stings*

yes

If Stung by a Bee Do You Give Permission to Administer Liquid Benadryl*

yes

If No Suggest Alternate Medications*

Do You Allow Wings of Eagles Ranch to Administer Advil/Tylenol*

yes

Had Any Recent Injury, Illness, or Infectious Disease*

yes

Have Any Allergies*

yes

Have Frequent Headaches*

yes

Do you Have Epilepsy or Have Experienced A Seizure*

yes

Do You Feel Dizzy During or After Exercising*

yes

If Yes Please Explain*

Background Check

Your Full Name*

First Last

References - Mandatory for all volunteers regardless of age (Must Be a non-family member 25 years or older)

Reference 1

Reference*

First Last

Relationship*

Reference's Phone Number*

Reference 2

Reference*

First Last

Relationship*

Reference's Phone Number*

Reference 3

Reference 3*

First Last

Relationship*

Reference's Phone Number*

Criminal History

Have You Ever Been Convicted of A Crime Other than a Traffic Violation*

yes

If Yes Please Explain*

I hereby authorize Wings of Eagles Ranch to contact any references listed herein to verify all information provided and to obtain any and all information related to my character and past work performance. I further hereby release all references from any liability of information provided in good faith. The information provided above is accurate to the best of my knowledge. I know of no reason why I should not participate in the Wings of Eagles Ranch Therapeutic Horseback Riding and Outdoor Adventures program.*

I hereby authorize Wings of Eagles Ranch to contact any references listed herein to verify all information provided and to obtain any and all information related to my character and past work
performance. I further hereby release all references from any liability of information provided in good
faith.
The information provided above is accurate to the best of my knowledge. I know of no reason why I
should not participate in the Wings of Eagles Ranch Therapeutic Horseback Riding and Outdoor
Adventures program.

I Agree

For Grant Purposes Only

What is Your Ethnicity*

African American

Asian

Caucasian

Hispanic

Native American

Multiracial

Prefer not to answer

Other

Father's Place of Employement*

Mother's Place of Employement*

What County Are You In*

Cabarrus

Rowan

Stanly

Mecklenburg

Union

Iredell

Release and Indemnification Agreement

STATE OF NORTH CAROLINA COUNTY OF CABARRUS § KNOW ALL MEN BY THESE PRESENTS: THAT for and in consideration of the undersigned being permitted on and at the WINGS OF EAGLES RANCH a North Carolina non-profit corporation, (hereinafter the "Ranch") situated in Cabarrus County, North Carolina, for the purpose of engaging in equine activities as that term is defined in NC ST § 99E-1(1) and NC ST § 99E-1(3), the undersigned agrees that he/she shall engage in equine activities at his/her own risk and accepts the inherent risks of equine activities or other activities thereon including, but not limited to, running, biking, zip line, climbing, skeet shooting, water related activities at the pond, swimming pool, high and low rope activities, overnight stays or other activity thereon, the undersigned agrees that he shall enter onto the Ranch property at his/her own risk and accepts such Ranch property in its present condition and CHRISTINE CRONIN, Wings of Eagles Ranch, their spouses, agents, employees, heirs, executors, administrators, the Board of Directors, volunteers, successors and assigns, jointly and severally (herein collectively "Releasees") shall not be liable to the undersigned or to the spouses, heirs, agents, employees, servants, guests, invitees or assigns of the undersigned for damages or personal injuries which may arise out of the undersigned venturing upon the Ranch property for the purpose of activities thereon including, but not limited to, equine activities, running, biking, zip line, climbing, skeet shooting, water related activities at the pond, swimming pool, high and low rope activities, overnight stays or other activity thereon, or in using or exercising any rights, privileges and benefits extended by Releasees to the undersigned on or about the Ranch or Ranch property (whether such damages or personal injuries are caused by natural or un-natural conditions existing on the Ranch property and whether such damages or personal injuries, including disease, are caused by man, beast, fowl, insects, reptiles and other animals, including but not limited to wild pigs, bobcats, horses, deer, dogs, cats, skunks, squirrels, ticks, fleas, snakes, and Acts of God (i.e. weather and tree falls or other animals or insects) and diseases including but not limited to, COVID-19 Virus. The undersigned represents that he has inspected the Ranch and Ranch property and accepts entry thereon in its present condition and agrees to RELEASE, ACQUIT, HOLD HARMLESS and FOREVER DISCHARGE Releasees, their spouses, agents, servants and employees and all persons, natural or corporate, in privity with them or any of them, from any and all claims or causes of action of any kind whatsoever, including claims and damages arising in whole or in part from the negligence of Releasees whether that negligence is the sole or contributory cause of the resultant injury, death or damage, at common law, statutory or otherwise, which the undersigned has or might have, known or unknown, now existing or that might arise hereafter, directly or indirectly attributable to the use and occupancy of the Ranch for the purpose of any and all activities, and the undersigned further agrees to INDEMNIFY AND HOLD RELEASEES HARMLESS FROM AND AGAINST ANY AND ALL SUITS, ACTIONS, LOSSES, DAMAGES, CLAIMS, OR LIABILITY OF ANY CHARACTER, TYPE, OR DESCRIPTION, INCLUDING ALL EXPENSES OF LITIGATIONS, COURT COSTS, AND ATTORNEY'S FEES FOR INJURY OR DEATH TO ANY PERSON OR INJURY TO ANY PROPERTY, RECEIVED OR SUSTAINED BY ANY PERSON OR PERSONS OR PROPERTY, ARISING OUT OF OR OCCASIONED BY, DIRECTLY OR INDIRECTLY, THE UNDERSIGNED VENTURING UPON THE RANCH FOR THE PURPOSE OF ANY AND ALL ACTIVITIES THEREON, INCLUDING CLAIMS AND DAMAGES ARISING IN WHOLE OR IN PART FROM THE NEGLIGENCE OF RELEASEES. IT IS THE EXPRESS INTENT OF THE PARTIES TO THIS AGREEMENT THAT THE INDEMNITY PROVIDED FOR HEREIN IS AN INDEMNITY EXTENDED BY THE UNDERSIGNED TO INDEMNIFY AND PROTECT RELEASEES FROM THE CONSEQUENCES OF RELEASEES "OWN NEGLIGENCE" WHETHER THAT NEGLIGENCE IS THE SOLE OR CONTRIBUTORY CAUSE OF THE RESULTANT INJURY, DEATH, OR DAMAGE. The undersigned further agrees to defend, at his own expense, and on behalf of Releasees, and in the name of Releasees, any claim or litigation brought in connection with any such injury, death or damage, except that Releasees shall be entitled to select their respective counsel, however, the cost for such defense shall be paid for solely by the undersigned. This Release and Indemnification Agreement and all contents herein, are expressly made binding upon and shall inure to the detriment of the heirs, legal representatives, administrators, executors, appointees, legatees, devisees, trustees, successors and assigns of each of the undersigned hereto, and their children, wards or issue. WARNING UNDER NORTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING EXCLUSIVELY FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. CHAPTER 99E OF THE NORTH CAROLINA GENERAL STATUTES. I understand and will abide by any and all Ranch Rules.*

STATE OF NORTH CAROLINA
COUNTY OF CABARRUS § KNOW ALL MEN BY THESE PRESENTS:
THAT for and in consideration of the undersigned being permitted on and at the WINGS OF EAGLES RANCH a North Carolina non-profit corporation, (hereinafter the "Ranch") situated in Cabarrus County, North Carolina, for the purpose of engaging in equine activities as that term is defined in NC ST § 99E-1(1) and NC ST § 99E-1(3), the undersigned agrees that he/she shall engage in equine activities at his/her own risk and accepts the inherent risks of equine activities or other activities thereon including, but not limited to, running, biking, zip line, climbing, skeet shooting, water related activities at the pond, swimming pool, high and low rope activities, overnight stays or other activity thereon, the undersigned agrees that he shall enter onto the Ranch property at his/her own risk and accepts such Ranch property in its present condition and CHRISTINE CRONIN, Wings of Eagles Ranch, their spouses, agents, employees, heirs, executors, administrators, the Board of Directors, volunteers, successors and assigns, jointly and severally (herein collectively "Releasees") shall not be liable to the undersigned or to the spouses, heirs, agents, employees, servants, guests, invitees or assigns of the undersigned for damages or personal injuries which may arise out of the undersigned venturing upon the Ranch property for the purpose of activities thereon including, but not limited to, equine activities, running, biking, zip line, climbing, skeet shooting, water related activities at the pond, swimming pool, high and low rope activities, overnight stays or other activity thereon, or in using or exercising any rights, privileges and benefits extended by Releasees to the undersigned on or about the Ranch or Ranch property (whether such damages or personal injuries are caused by natural or un-natural conditions existing on the Ranch property and whether such damages or personal injuries, including disease, are caused by man, beast, fowl, insects, reptiles and other animals, including but not limited to wild pigs, bobcats, horses, deer, dogs, cats, skunks, squirrels, ticks, fleas, snakes, and Acts of God (i.e. weather and tree falls or other animals or insects) and diseases including but not limited to, COVID-19 Virus. The undersigned represents that he has inspected the Ranch and Ranch property and accepts entry thereon in its present condition and agrees to RELEASE, ACQUIT, HOLD HARMLESS and FOREVER DISCHARGE Releasees, their spouses, agents, servants and employees and all persons, natural or corporate, in privity with them or any of them, from any and all claims or causes of action of any kind whatsoever, including claims and damages arising in whole or in part from the negligence of Releasees whether that negligence is the sole or contributory cause of the resultant injury, death or damage, at common law, statutory or otherwise, which the undersigned has or might have, known or unknown, now existing or that might arise hereafter, directly or indirectly attributable to the use and occupancy of the Ranch for the purpose of any and all activities, and the undersigned further agrees to INDEMNIFY AND HOLD RELEASEES HARMLESS FROM AND AGAINST ANY AND ALL SUITS, ACTIONS, LOSSES, DAMAGES, CLAIMS, OR LIABILITY OF ANY CHARACTER, TYPE, OR DESCRIPTION, INCLUDING ALL EXPENSES OF LITIGATIONS, COURT COSTS, AND ATTORNEY'S FEES FOR INJURY OR DEATH TO ANY PERSON OR INJURY TO ANY PROPERTY, RECEIVED OR SUSTAINED BY ANY PERSON OR PERSONS OR PROPERTY, ARISING OUT OF OR OCCASIONED BY, DIRECTLY OR INDIRECTLY, THE UNDERSIGNED VENTURING UPON THE RANCH FOR THE PURPOSE OF ANY AND ALL ACTIVITIES THEREON, INCLUDING CLAIMS AND DAMAGES ARISING IN WHOLE OR IN PART FROM THE NEGLIGENCE OF RELEASEES. IT IS THE EXPRESS INTENT OF THE PARTIES TO THIS AGREEMENT THAT THE INDEMNITY PROVIDED FOR HEREIN IS AN INDEMNITY EXTENDED BY THE UNDERSIGNED TO INDEMNIFY AND PROTECT RELEASEES FROM THE CONSEQUENCES OF RELEASEES "OWN NEGLIGENCE" WHETHER THAT NEGLIGENCE IS THE SOLE OR CONTRIBUTORY CAUSE OF THE RESULTANT INJURY, DEATH, OR DAMAGE.

The undersigned further agrees to defend, at his own expense, and on behalf of Releasees, and in the name of Releasees, any claim or litigation brought in connection with any such injury, death or damage, except that Releasees shall be entitled to select their respective counsel, however, the cost for such defense shall be paid for solely by the undersigned.

This Release and Indemnification Agreement and all contents herein, are expressly made binding upon and shall inure to the detriment of the heirs, legal representatives, administrators, executors, appointees, legatees, devisees, trustees, successors and assigns of each of the undersigned hereto, and their children, wards or issue.

WARNING
UNDER NORTH CAROLINA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT IN EQUINE ACTIVITIES RESULTING EXCLUSIVELY FROM THE INHERENT RISKS OF EQUINE ACTIVITIES. CHAPTER 99E OF THE NORTH CAROLINA GENERAL STATUTES.

I understand and will abide by any and all Ranch Rules.

I agree

Do You Agree to Any Photo Release*

I do

I do not

By clicking I do, you consent to and authorize the use and reproduction by Wings of Eagles Ranch of any and all photographs and any other audio/visual materials taken for promotional material, educational activities, and exhibitions or for any other use for the benefit of the program.

Today's Date*

MM slash DD slash YYYY

Digital Signature*

First Last

Be a Part of
Something Bigger

Volunteer Application

Personal Information

Volunteering Opportunities

Therapeutic Riding (Check time and session you're voluneering for)

Available Times (There are no 6pm classes for winter sessions)

Summer/Day Camps

Experience

Medical Information

Background Check

References - Mandatory for all volunteers regardless of age (Must Be a non-family member 25 years or older)

Reference 1

Reference 2

Reference 3

Criminal History

For Grant Purposes Only

Release and Indemnification Agreement

Visit Us

hours

Release Form

Visit Us

hours

Release Form

Be a Part of Something Bigger

Volunteer Application

Personal Information

Volunteering Opportunities

Therapeutic Riding (Check time and session you're voluneering for)

Available Times (There are no 6pm classes for winter sessions)

Summer/Day Camps

Experience

Medical Information

Background Check

References - Mandatory for all volunteers regardless of age (Must Be a non-family member 25 years or older)

Reference 1

Reference 2

Reference 3

Criminal History

For Grant Purposes Only

Release and Indemnification Agreement

Be a Part of
Something Bigger