Volunteer Renewal Form

Please note that this form is only for those individuals who are already volunteers at Giant Steps. If you are new to Giant Steps, and would like to volunteer, please click here.

Have questions? Please contact Volunteer Coordinator Beth at 707-781-9455 or volunteer@giantstepsriding.org.

Giant Steps is a PATH Intl Premier Accredited Center. One of the best-practice standards we adhere to as a Premier Accredited Center is that all of our participants and volunteers must complete renewal paperwork annually. Any active participant or volunteer whose paperwork is dated more than 3 months prior to the renewal date must submit a renewal form.

Contact Information

Name

First Name

Last Name

Birthdate

Your birthdate is required as it will allow us to identify your volunteer information in our database.

YYYY

Have you updated your email address within the past year?

(In other words, is the email that you are entering different than the one that we have on record for you?)

Yes

Mobile Phone Number

(###)

###

####

Home Phone Number

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent / Guardian Information

If the participant is under 18 years of age at this time, we require that their parent / guardian information.

Parent/Guardian Name

For Volunteers under the age of 18

First Name

Last Name

Parent/Guardian Phone

For Volunteers under the age of 18

(###)

###

####

Updated Confidentiality Policy

Please review our updated policy.

POLICY OF CONFIDENTIALITY:

Confidentiality is defined as “told in secret or private relations; trusted.” Any information in regards to the participants (clients) at Giant Steps must be held in strict confidentiality. It is critical that we respect each individual. Confidentiality is considered one of the most basic responsibilities of our facility. In failure to abide by this policy, the quality of the services we provide may diminish and result in legal ramifications. The undersigned acknowledges that he/she has read and understands Giant Steps’ Policy of Confidentiality and agrees to abide by same.

Full Name

I have read and understand Giant Steps’ Policy of Confidentiality and agree to abide by same.

Commitment to Equality

In our commitment to equity and inclusion, we track data on our clients, volunteers, and staff. This data is merely for us to evaluate our progress on our equity and inclusion work. It does not affect your application in any way, and is completely voluntary to complete.

Gender

Preferred Pronouns

I identify ethnically as

Are you Certified in CPR?

Yes

Emergency Contact Information

Emergency Contact Name

Enter the first and last name of a person we can contact in an emergency.

Emergency Contact Relationship

Describe your relationship to this contact (e.g. 'Mother', 'Friend', 'Brother')

Emergency Contact Phone

This should be a mobile number.

Medical Information

Health Insurance Center

Health Insurance Policy Number

Preferred Medical Facility

If there any other personal changes pertinent to your volunteer role that we should know about please email our Volunteer Coordinator at volunteer@giantstepsriding.org

Thank you!