Intern Name *
Intern Name
Intern Date of Birth *
Intern Date of Birth
Intern's Address *
Intern's Address
How did you hear about us? *
In the event emergency medical aide/ treatment is required due to illness or injury during the process of receiving services, or while being on the property of Fun-E Farm T.O.O., I authorize Fun-E Farm T.O.O. to secure and retain medical treatment and transportation if needed. I release participant records upon request to the authorized individual or agency involved in the medical emergency treatment at my expense. I hold Fun-E Farm T.O.O. harmless for any expenses incurred in my interests. *
Camp Session Selection *
In the event your application is accepted to our internship program, please select the following session(s) you would like to intern for. In addition, if you want to join us for Week 5 (Clinic Camp) please make that selection as well.
Payment Method *
Media release for all promotional materials (including but not limited to) photographs, audio/videos, testimonials for our use on our website or Facebook/ Instagram page and/or for print. By selecting "consent" below, you are hereby authorizing the use and reproduction by Fun-E Farm T.O.O. of any and all audio/visual materials taken of me/ my child/ my ward for promotional material, education activities, website, or for anyother use for the benefit of the program. *
I would like to participate in Fun-E Farm T.O.O.’s farm programs. I acknowledge the risks and potential risks of being around horses and on a farm. However, I feel that the possible benefit to myself/ my child/ my ward are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damages against Fun-E Farm T.O.O., Fun-E Farm Inc., FEF LLC, its owners, instructors, therapists, consultants, volunteers and/or employees for any and all injuries and/or losses I/ my child/ my ward may sustain while participating in Fun-E Farm T.O.O.’s programs. *
I can catch a horse independently *
I can tack a horse in an english saddle independently *
I can tack a horse in a western/ endurance saddle independently *
I can put on a bridle independently *
I can pick a horses' hooves independently *
Please give the name, phone number, email and how you know this person. Family members are not acceptable references. Teachers, employers, coaches, etc are accepted.