Hannah's Horseshoes of Hope


Hannah's Horseshoes of Hope is a 501(c)(3) nonprofit program and a member of
NARHA (North American Riding for the Handicapped Association) with instructors certified to teach riding therapy.
HHH provides therapeutic horsemanship and other equine-assisted activities to benefit students
with physical, mental, emotional and learning disabilities.

BECOME A MEMBER OF

HANNAH'S POSSE

Volunteers Wanted
Without a large base of volunteers, no therapy program can be successful.  That is why volunteer recruitment
is as important a task as any other.  Our volunteers come from North Texas and Southern Oklahoma
and we greatly appreciate every task they perform - no matter how small or large.

How You Can Help

Volunteers who help with riding lessons should be at least 14-years-of-age and ambulatory,
but there are many other ways you can help.  We need folks to assist with horse evaluation and
grooming, tack cleaning, trail clearing, fund raising, promotion and recruiting, building and construction,
and other projects.  Whatever your interest, we have a job you can do!

Training

 Call Us At 903-640-9106 to Volunteer

Below is a Volunteer Registration Form.

Volunteer Of the Year

Volunteer of the Year 2005

Carol Crilly wins NARHA Region 8 Volunteer of the Year November, 2005 

Contact the folks below for more information on the ways you can help Hannah's Horseshoes of Hope.

VOLUNTEER REGISTRATION FORM Welcome to Triple H Equitherapy, Inc. d/b/a Hannah’s Horseshoes of Hope, a non-profit therapeutic horseback riding program for challenged people of all ages. So that we can best utilize your experiences and interests, please complete this application as fully as possible. Please fill out BOTH sides. I. PERSONAL Date: _______________________________ Name: ______________________________________________________________ Birth Date: __________________________ Address: ____________________________________________________________ Drivers License: ______________________ City: ____________________________________________ County: _______________________ Zip: _________________ Social Security No.: ________________________ Home Phone: _____________________ Work Phone: ____________________ Occupation: ______________________________________ Email Address: ______________________________________________ Employer : _________________________________ Affiliation (school, group, organization): _______________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ II. INTERESTS Why do you wish to volunteer in this program? _____________________________________________________________________ ____________________________________________________________________________________________________________ Do you have special talents that you could offer us (artistic, sign language, computer, photography, carpentry, etc.)? ______________ ____________________________________________________________________________________________________________ Your general background (schooling, work experience, etc.) __________________________________________________________ ___________________________________________________________________________________________________________ How did you find out about Hannah's Horseshoes of Hope? (Check all that apply) ____ Radio ____ TV ____ Newspaper ____ School Group/organization (please specify) ______________________________________________________________________________ Friend(s) � Please Name _______________________________________________________________________________________ Other (please specify) _________________________________________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ III. SPECIAL EXPERIENCE Have you had any experience working with persons who are visually or hearing impaired, or who are physically or emotionally disabled? ___________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Please describe, including specific skills and/or degrees: ______________________________________________________________ ____________________________________________________________________________________________________________ Have you had any experience with horses? Please describe:____________________________________________________________ ____________________________________________________________________________________________________________ First Aid or CPR certification? First Aid ___________ CPR ___________ Expires _____________ Would you be interested in periodic educational and idea-sharing meetings? ________ Subjects: ____________________________ _______________________________________________________________________________________________________________________________________________________Time Preferred: ___________________________________________________ IV. SPECIAL OPPORTUNITIES Would you be interested in helping in any of the following areas? Tack Cleaning/Repair _________________ Fundraising ____________________ Barn/Ground Maintenance _____________ Telephoning ____________________ Public Relations/Marketing ____________ Mailings _______________________ Special Events Committee _____________ Special Events Planning ___________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ V. REFERENCES Please list two non-family references (Students must add as a third reference a teacher or counselor): Name __________________________ Relationship __________ Daytime Phone # _____________Evening Phone # _____________ Name __________________________ Relationship __________ Daytime Phone # _____________Evening Phone # _____________ Name __________________________ Relationship __________ Daytime Phone # _____________Evening Phone # _____________ ------------------------------------------------------------------------------------------------------------------------------------------------------------------ VI. STATEMENT OF UNDERSTANDING, AUTHORIZATION, AND RELEASE I, ____________________________________, (volunteer), am over 18 years of age and fully competent to make this Statement of Understanding, Authorization, Release and Indemnity (statement), which I have read and understand. I understand the information I have provided may be verified and permit Hannah’s Horseshoes of Hope to inquire of others concerning by suitability as a volunteer. In the course of volunteering, I may deal with confidential information and agree to keep said information in my strictest confidence. The relationship between Hannah’s Horseshoes of Hope and me is an at will arrangement and may be terminated at any time, without cause, by either Hannah’s Horseshoes of Hope or me. I understand that, as a volunteer, I will assist in riding, instruction of mentally or physically challenged riders and that I will work with and around horses, as well as riders. I understand that I cannot serve as a volunteer until this Statement has been signed. In return for the opportunity to serve as a volunteer, I hereby forever release, acquit and discharge Hannah’s Horseshoes of Hope and its officers, directors, trustees, agents, employees, representatives, affiliates, successors and assigns (collectively the released and Indemnified Parties) from any and all claims, demands and causes of action of any and every kind or nature, including those caused in whole or it part by the negligence of any of the Release and Indemnified Parties, which I may now or in the future have against any or all of the Released and Indemnified Parties and that arise in whole or in part as a result of my involvement with Hannah’s Horseshoes of Hope. I also understand and agree that Hannah’s Horseshoes of Hope assumes no liability for accidents or act of negligence or gross negligence by anyone, including the Releases and Indemnified Parties. I further agree to fully indemnify and defend any of the Released and Indemnified Parties against any and all claims, demands or causes of action of any and every kind or nature (including attorney’s fees and other defense costs), including those caused in whole or in part by the negligence of any or all of the Released and Indemnified Parties, which directly or indirectly relate to personal injuries or property damages sustained by me and that arise in whole or in part as a result of my involvement with Hannah’s Horseshoes of Hope. If any provision of the Statement is determined to be unenforceable, all other provisions shall remain in full force and effect. SIGNED: _________________________________________________________________ Date: _______________________ Volunteer I represent to Hannah’s Horseshoes of Hope that I am the parent or guardian of the Volunteer whose signature appears above. On behalf of that Volunteer, I agree and accept all of the provisions of the foregoing Statement of Understanding, Authorization, and Release Indemnity. I am authorized to sign this Statement of behalf of the Volunteer and my doing so legally binds the Volunteer as if he/she were not a minor. SIGNED: _________________________________________________________________ Date: _______________________ Volunteer’s Parent or Guardian (Necessary if Volunteer is under 18 years of age) Volunteer Medical History Name _____________________________________________________ Date _____________________________________________________ Current Medications ____________________________________________ _____________________________________________________________ In order to safely provide services to all participants in a safe manner, HHH requests that you circle any condition below that relates to you. Orthopedic Other Coxa Anthrosis Indwelling Catheters Crianial Deficits Medications � i.e. photosensitivity Heterotopic Ossification/Myositis Ossificans Poor Endurance Joint sublization/dislocation Skin Breakdown Osteoporosis Pathologic Fractures Spinal Fusion/Fixation Spinal Instability/Abnormalities Neurologic Hydrocephalus/Shunt Seizure Disorders Spina Bifida/Chiari III malformation Tethered Cord/Hydomyelia Medical Psychological Asthma Allergies Bi-Polar Blood Pressure Control Diabetic Heart Conditions Hemophilia Migraines Peripheral Vascular Disease Respiratory Compromise Recent Surgeries Substance Abuse Thought Control Disorders Weight Control Disorders

Check Back Soon to see our Volunteer Feature Section! Featuring the people who help us out the most. Thank you for all your support.

STUDENT COORDINATORS:
Cindy Mahoney ~ 903.664.2002     Email: 122891@earthlink.net

OFFICE MANAGER:
Krista Aguilar ~ 214.681.1306     Email: kristajoy_mission@hotmail.com

DIRECTOR:
Janice Mills, Founder/ED ~ 903.664.3062     Email: jcmills@hughs.net