Rancho 3 Agavez de Cielo Azul
Volunteer liability, release, waiver, and background form
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PHOTO RELEASE: Rancho 3 Agavez will have photographers and the media capturing horse and human activities with photos, audio and video film through the season / year. With your presence, participation, and activity at Rancho 3 Agavez you are presumed to have agreed to your appearance in any promotional material, educational material, not limited to this list or any other use for the benefit of Rancho 3 Agavez with or without your signature. Exception, you must write “I do not authorize my photo to be taken” Then it is your responsibility to not participate in the program the day the photos and /or media are shooting photos or filming. Applicant Signature or Parent / Guardian if under 18 Yrs. Date *
Signatures and date:

Liability / Release / Waiver: As a volunteer or visitor at Rancho 3 Agavez Self-improvement Horse bonding, I do acknowledge the potential risks for (NO FAULT) injury or death when participating in or visiting this self-improvement program. I feel the benefits of participating in the program or as a bystander are greater than the assumed risks to me or any persons with me as a visitor. I hereby, intending to be legally bound for myself, my heirs and assigns, executors or administrator, waive and release forever all claims for damages against Rancho 3 Agavez Self-improvement Horse bonding, from the following, but not limited, to its Board of Directors, Instructors, Volunteers, Staff, Therapist, Stables, or Property Owner(s) from any and all injuries and / or losses that I may sustain while participating in or visiting Rancho 3 Agavez Self-improvement Horse bonding program.  Applicant Signature or Parent / Guardian if under 18 Yrs. Print Name Date

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Signatures and date:

Background Checks: Have you ever been convicted of a criminal offense or Felony or are you on parole?

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If Yes, Explain: *

All Volunteer applicants of 18 years and older may be subject to a criminal background check before they begin their services at Rancho 3 Agavez Self-improvement Horse bonding. Rancho 3 Agavez has the right to reject any one who has been convicted of crimes involving but not limited to the following, violence, alcohol, theft and any other crime that Rancho 3 Agavez deems may pose possible risks to riders, volunteers, and staff, including but not limited to this list. Record checks include inquiries of social security number, information from National Criminal File that includes state criminal records, prison parole, release files and sex offender registries Rancho 3 Agavez also has the right to reject any applicant who refuses to comply with a criminal records check. ALL information will be keep STRICKLY CONFIDENTIAL BY RANCHO 3 AGAVEZ. Signature if 18 yrs. or older Social Security Number Birthdate

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Signatures and Date:
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