Please ensure that all of the following documents have been filled out and received on or before your child’s first session at the ranch. If you have any questions, please call
804-397-0469 or email us at Wingsofhoperanchercoordinator@outlook.com
Wings of Hope Ranch Client “Rancher” Application
Thank you for your interest in Wings of Hope Ranch, where children facing conflicts or challenges come together with rescued horses to help each other learn how to love and trust again.
OUR CORE FOCUS: To share the love of Jesus through rescued horses to children ages 5 – 18
We look forward to the possibility of meeting you and ministering to your child. Please complete the following application for your child(ren) who would like to participate in our program (please complete one application per child if more than one child will be participating).
Session Times: Sessions run once a week for 90 minutes from March to June, and from September to November. There is no charge or fee for our program. The more flexible you are the easier it will be for us to find you a spot in our program. Our Rancher Coordinator will confirm via email or phone call before we officially place you in a specific time slot as we realize your schedule may change periodically.
If our sessions are already full, we will put your child/rancher on a waiting list and contact you as soon as we have an open spot. Our days and session times completely revolve around our seasonal volunteer supervisors’ schedules so we may have more/less session times available each new season.
RELEASE OF LIABILITY AND HOLD HARMLESS AGREEMENT
The undersigned participant, and his or her parent or legal guardian if the participant is under the age of 18 years old, is aware that equine activities in which the participant may directly or indirectly engage, whether mounted or un-mounted, to include but not be limited to: horseback riding, training, driving, jumping or otherwise being a passenger upon an equine; and also handling, leading, grooming and otherwise attending to the equine, are activities and events which pose potentially serious risks of injuries or death to the participants. I understand that the participant may be injured or die as a result of the participant’s negligence, the negligence of others, or through no fault of the participant or anyone else but because of the nature of the activity in which the participant is going to be engaged. I also understand that horses, even the most well-trained, are unpredictable and may be difficult to control.
With this waiver, I accept notice of the provisions of the Equine Activity Liability Act, Sections 3.2-6200 through 3.2-6203 of the Code of Virginia, 1950, as amended, which state in part, the intrinsic dangers or conditions that are an integral part of equine activities, including but not limited to (i) the propensity of an equine to behave in ways that may result in injury, harm or death to persons on or around them; (ii) the unpredictability of an equine’s reaction to sounds, sudden movements, and unfamiliar objects, persons or other animals; (iii) certain hazards such as surface and subsurface conditions; (iv) collisions with other animals or objects; and (v) the potential of a participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant’s ability. This waiver shall remain valid unless expressly revoked by me, or if a minor, by a parent or guardian, in writing, with receipt acknowledged in writing by an agent/director of the Wings of Hope Ranch.
Furthermore, with this waiver, I expressly assume the risk of injury or death due to the ordinary negligence of the Wings of Hope Ranch, located at 14505 West Patrick Henry Rd, Montpelier, VA 23192 and any and all of its employees, agents, volunteers, and representatives; however, I understand that this release is not intended to prevent or limit liability in the event of gross negligence or willful misconduct by any of the aforementioned parties.
With knowledge of the foregoing, and as an inducement for the participant’s ability to participate in equine activities at the Wings of Hope Ranch, I hereby agree to waive and release any and all rights that I or my heirs may have to make a claim against the Wings of Hope Ranch and all its agents, employees, representatives and volunteers, arising from any damages, injury or death which the participant might sustain while engaging in equine activities at the Wings of Hope Ranch. I further agree to indemnify and hold harmless the Wings of Hope Ranch, its agents, representatives and volunteers from any claims which I might make or which might be made on my behalf by others or which might be made against the Wings of Hope Ranch by others, arising from the participant’s equine activities at the Wings of Hope Ranch. Furthermore, I agree to indemnify the Wings of Hope Ranch for any injury, death, loss or damage to any personal property when suck injury, death, loss or damage arises from the participant’s equine activities at the Wings of Hope Ranch or at an event hosted by the Wings of Hope.
BY SIGNING THIS WAIVER AND RELEASE, I UNDERSTAND THAT I AM GIVING UP, WAIVING AND RELEASING, ANY RIGHT I MIGHT HAAVE TO SUE OR MAKE A CLAIM AGAINST THE WINGS OF HOPE RANCH AND ANY OF ITS AGENTS, EMPLOYEES, VOLUNTEERS OR REPRESENTATIVES, FOR ANY INJURIES THE PARTICIPANT MIGHT SUSTAIN TO ITS PERSON OR ITS PERSONAL PROPERTY, WHILE HORSEBACK RIDING OR UNMOUNTED, IN AN EQUINE ACTIVITY AT THE WINGS OF HOPE RANCH, AND THAT I AM INDEMNIFYING AND HOLDING HARMLESS, THE WINGS OF HOPE RANCH AND ALL OF ITS EMPLOYEES, AGENTS, VOLUNTEERS OR REPRESENTATIVES, FOR INJURIES TO ANYONE ELSE OR ANY HORSE RIDDEN BY ANOTHER WHILE I AM ENGAGED IN EQUINE ACTIVITIES AT THE WINGS OF HOPE RANCH. IT IS MY INTENT TO GIVE UP THOSE RIGHTS AND PROVIDE THIS HOLD HARMLESS AGREEMENT AND I DO SO KNOWINGLY AND VOLUNTARILY.
Today's Date: September 22, 2019