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Volunteer Registration

Please list any medical information which we would need to know in case of an emergency:

As a volunteer at Main Stay Therapeutic Farm, your time is priceless to us in so many ways. Volunteer hours are not only essential to Main Stay’s operations, but also for grants and other funding opportunities. Therefore we ask that you enter your hours on the volunteer log sheet located in the VIP room (volunteer lounge) each time you come to Main Stay. If you have any questions, please call/text or email the Volunteer Coordinator at 815-382-9374 or Thank you for your gift of time!


I acknowledge the risks and the potential for risks of attending lessons or activities around horses and other farm animals inside and outside the Main Stay facility. However, I feel that the possible benefits are greater than the risks 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 Main Stay Therapeutic Farm, Inc., its Board of Directors, instructors, therapists, aides, volunteers and/or employees for any and all injuries and/or losses I/my minor children present may sustain while participating and attending activities in a Main Stay Therapeutic Farm, Inc. program.

Under the Equine Activity Liability Act, each participant who engages in an equine activity expressly assumes the risks of engaging in and legal responsibility for injury, loss, or damage to person or property resulting from the risk of equine activities. ~IL PWA-89-0111~

If under 18 a parent or guardian must sign.

Contact information

Main Stay Therapeutic Farm

6919 Keystone Rd., Richmond, IL 60071

Tel: 815.653.9374  Fax: 815.728.1224

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