| First Name: |
|
| Last Name: |
|
| Address Street: |
|
| City: |
|
| Zip Code: |
(5 digits) |
| State: |
|
| Contact Information |
| Daytime Phone: |
|
| Cell Phone: |
|
| Evening Phone: |
|
| Email: |
|
Experience and Information -
Please tell us in detail your experience
|
Can you lift heavy objects,
such as Hay Bales or
Feed Bags at 50 lbs each?
|
Yes
No |
| Fundraising: |
|
| General Office / Computers: |
|
| Carpentry / Electrical / Plumbing: |
|
| Large Animals - be specific: |
|
| Farm Maintenance: |
|
| Other Skills: |
|
Would you be interested in any of the
following? (Yes or No)
|
Cleaning Tack
|
Yes
No |
Grooming Animals
|
Yes
No |
Yard Work
|
Yes
No |
Gardening
|
Yes
No |
Working With Children
|
Yes
No |
Special Events
(Farmfest Fundraising)
|
Yes
No |
Do you have a Trailer?
Would HARPS be able
to use the Trailer if necessary?
|
Yes
No
2-Horse4-HorseStock
|
Are you a Member of HARPS?
|
Yes
No |
When was your last Tetanus Shot?
For people who work around
animals, a Tetanus Booster is required
every 5 years.
|
|
| Security Code: * |
|