VOLUNTEER REGISTRATION

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Rider Registration

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CONTACT US

PPTRC
13620 Halleluiah Trail
Elbert, CO 80106
Phone: (719) 495-3908
Fax: (719) 494-1689
Email: PPTRC@PPTRC.org

VOLUNTEER REGISTRATION FORM

Please fill out the information below and 'submit' the form.
The form is emailed to the volunteer director (no information will be saved on the network).
Please print the confirmation message for your records.
Volunteer Information
Name:
Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal Code:
 
Home Phone:
Cell Phone:
Work Phone:
Email:
 
Birthday:
Employer/School:
Name of Parent/Guardian
(if under 18):
Guardian Phone:
How did you learn about the program?
 
Do you have horse experience?
 
Are you able to walk for 45 minutes and jog short distances?
 
Do you have any health issues or physical limitations we should be aware of (ex; lifting weight limit, allergies, breathing etc)?
 
What days are you available to volunteer (please select day and morning/afternoon -- you may select multiple days and times)? Monday A.M.
Monday P.M.
Tuesday A.M.
Tuesday P.M.
Wednesday A.M.
Wednesday P.M.
Thursday A.M.
Thursday P.M.
Friday A.M.
Friday P.M.
Saturday A.M.
Saturday P.M.