{"id":10307,"date":"2019-02-22T10:08:48","date_gmt":"2019-02-22T15:08:48","guid":{"rendered":"http:\/\/www.rvhr.com\/wordpress\/?page_id=10307"},"modified":"2022-12-13T13:19:12","modified_gmt":"2022-12-13T18:19:12","slug":"volunteer-form-package","status":"publish","type":"page","link":"https:\/\/www.rvhr.com\/wordpress\/volunteer-form-package\/","title":{"rendered":"Volunteer Release Forms"},"content":{"rendered":"<div class=\"pvc_clear\"><\/div><p id=\"pvc_stats_10307\" class=\"pvc_stats all  \" data-element-id=\"10307\" style=\"\"><i class=\"pvc-stats-icon large\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.0\" viewBox=\"0 0 502 315\" preserveAspectRatio=\"xMidYMid meet\"><g transform=\"translate(0,332) scale(0.1,-0.1)\" fill=\"\" stroke=\"none\"><path d=\"M2394 3279 l-29 -30 -3 -207 c-2 -182 0 -211 15 -242 39 -76 157 -76 196 0 15 31 17 60 15 243 l-3 209 -33 29 c-26 23 -41 29 -80 29 -41 0 -53 -5 -78 -31z\"\/><path d=\"M3085 3251 c-45 -19 -58 -50 -96 -229 -47 -217 -49 -260 -13 -295 52 -53 146 -42 177 20 16 31 87 366 87 410 0 70 -86 122 -155 94z\"\/><path d=\"M1751 3234 c-13 -9 -29 -31 -37 -50 -12 -29 -10 -49 21 -204 19 -94 39 -189 45 -210 14 -50 54 -80 110 -80 34 0 48 6 76 34 21 21 34 44 34 59 0 14 -18 113 -40 219 -37 178 -43 195 -70 221 -36 32 -101 37 -139 11z\"\/><path d=\"M1163 3073 c-36 -7 -73 -59 -73 -102 0 -56 133 -378 171 -413 34 -32 83 -37 129 -13 70 36 67 87 -16 290 -86 209 -89 214 -129 231 -35 14 -42 15 -82 7z\"\/><path d=\"M3689 3066 c-15 -9 -33 -30 -42 -48 -48 -103 -147 -355 -147 -375 0 -98 131 -148 192 -74 13 15 57 108 97 206 80 196 84 226 37 273 -30 30 -99 39 -137 18z\"\/><path d=\"M583 2784 c-38 -19 -67 -74 -58 -113 9 -42 211 -354 242 -373 16 -10 45 -18 66 -18 51 0 107 52 107 100 0 39 -1 41 -124 234 -80 126 -108 162 -133 173 -41 17 -61 16 -100 -3z\"\/><path d=\"M4250 2784 c-14 -9 -74 -91 -133 -183 -95 -150 -107 -173 -107 -213 0 -55 33 -94 87 -104 67 -13 90 8 211 198 130 202 137 225 78 284 -27 27 -42 34 -72 34 -22 0 -50 -8 -64 -16z\"\/><path d=\"M2275 2693 c-553 -48 -1095 -270 -1585 -649 -135 -104 -459 -423 -483 -476 -23 -49 -22 -139 2 -186 73 -142 361 -457 571 -626 285 -228 642 -407 990 -497 242 -63 336 -73 660 -74 310 0 370 5 595 52 535 111 1045 392 1455 803 122 121 250 273 275 326 19 41 19 137 0 174 -41 79 -309 363 -465 492 -447 370 -946 591 -1479 653 -113 14 -422 18 -536 8z m395 -428 c171 -34 330 -124 456 -258 112 -119 167 -219 211 -378 27 -96 24 -300 -5 -401 -72 -255 -236 -447 -474 -557 -132 -62 -201 -76 -368 -76 -167 0 -236 14 -368 76 -213 98 -373 271 -451 485 -162 444 86 934 547 1084 153 49 292 57 452 25z m909 -232 c222 -123 408 -262 593 -441 76 -74 138 -139 138 -144 0 -16 -233 -242 -330 -319 -155 -123 -309 -223 -461 -299 l-81 -41 32 46 c18 26 49 83 70 128 143 306 141 649 -6 957 -25 52 -61 116 -79 142 l-34 47 45 -20 c26 -10 76 -36 113 -56z m-2057 25 c-40 -58 -105 -190 -130 -263 -110 -324 -59 -707 132 -981 25 -35 42 -64 37 -64 -19 0 -241 119 -326 174 -188 122 -406 314 -532 468 l-58 71 108 103 c185 178 428 349 672 473 66 33 121 60 123 61 2 0 -10 -19 -26 -42z\"\/><path d=\"M2375 1950 c-198 -44 -350 -190 -395 -379 -18 -76 -8 -221 19 -290 114 -284 457 -406 731 -260 98 52 188 154 231 260 27 69 37 214 19 290 -38 163 -166 304 -326 360 -67 23 -215 33 -279 19z\"\/><\/g><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/www.rvhr.com\/wordpress\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p><div class=\"pvc_clear\"><\/div>\n<p><strong>To print a copy of any of the following forms for your records right click on any part of the pages and click print.<\/strong><\/p>\n\n\n\n<p>Thank you for wanting to help us here at Roanoke Valley Horse Rescue.  You have completed step one of become a volunteer here at the rescue and have submitted you Volunteer Application.  Now that you have been schedule for your first visit to the facility we will need you to fill out the following forms for our files.<\/p>\n\n\n\n<p>There will be four (4) forms you will be filling out prior to Volunteering at Roanoke Valley Horse Rescue.   They are as follows <strong><em>1st. Release of Liability,  2nd RVHR Rules,  3rd Pledge of Confidentiality and 4th Acknowledgement of electronic signatures.<\/em><\/strong><\/p>\n\n\n\n<p><strong>Please read each form and enter the needed information. When done click submit you will be directed to the next form needed. We look forward to working with you on your new endeavor here helping to care for animals in need.<\/strong><\/p>\n\n\n\n<p>~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~<\/p>\n\n\n\n<p>For\nreasons of legal and financial liability due to the possibility of injury when\ndealing with horses we require the reading and signing of this form by any\nindividual and\/or responsible party before allowing that partake in any rescue\nactivity at this facility or at any other facility being used by Roanoke Valley\nHorse Rescue, Inc..&nbsp; Please be aware that\nthis is a legal and binding release of liability and is admissible in a court\nof law.<\/p>\n\n\n\n<p>I, hereby knowingly executed this waiver of the right to sue and agree to assume all risks of the equine activity at Roanoke Valley Horse Rescue, Inc.&nbsp; I understand and agree that equine activities involve certain intrinsic dangers.&nbsp; These dangers include, but are not necessarily limited to, the following:<\/p>\n\n\n\n<p><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>The propensity of an equine to behave in ways which may result in injury, harm or death to person on or around, and<\/li>\n\n\n\n<li>The unpredictability of an equine\u2019s reaction to such things as sounds, sudden movements and unfamiliar object, person or other animals, and<\/li>\n\n\n\n<li>Certain hazards such as surface and subsurface conditions (These hazardous surface conditions include but are not limited to such things as rocks, boulders, trees, mud puddles, ice patches, stumps, fences, and\/or other hard objects whether man made or natural and\/or holes, ground hog holes, caves, divots, ledges, and\/or cliffs which could cause an equine to trip and\/or fall and\/or could strike a participant who falls from or is thrown from and equine.); and<\/li>\n\n\n\n<li>Collisions with other animals or objects, and<\/li>\n\n\n\n<li>The potential of a participant acting in a negligent manner that may contribute to injury to the participant or others, such as failing to maintain control over the equine or not acting within the participant\u2019s ability.<\/li>\n\n\n\n<li><\/li>\n<\/ol>\n\n\n\n<p><\/p>\n\n\n\n<p>I hereby assume the risk of equine\nactivities I may engage with Roanoke Valley Horse Rescue, Inc. and hereby waive\nthe right to sue and hereby release any and all Officers of Roanoke Valley\nHorse Rescue, Inc. from any and all legal liability pursuant to the \u201cVirginia\nEquine Activity Liability Act,\u201d of the Code of Virginia (Section 3.1-796.130 et\nseq.)<\/p>\n\n\n\n<p>To the extent inconsistent with\nthe terms hereof, this Waiver of Rights and assumption of Risk supersedes all\nprior agreements and understanding between Roanoke Valley Horse Rescue, Inc.\nand me, and shall be governed by and construed under the laws of the\ncommonwealth of Virginia.&nbsp; This Waiver of\nRights and Assumption of Risk shall remain valid and in force until canceled by\nme in writing, hand-delivered to Roanoke Valley Horse Rescue, Inc.<\/p>\n\n\n\n<p>By signing my name below, I acknowledge that I have read and understand this Waiver of Rights and Assumption of Risk of Equine Activity Pursuant to Virginia code Section 3.1-796.103 et seq., and that I agree to be bound by its terms.&nbsp; <\/p>\n\n\n\n<p>I further agree that I will be\nresponsible for and indemnify and hold Roanoke Valley Horse Rescue, Inc.\nharmless from any damage, sickness or injury caused by any animal, which I\nbring upon the property.<\/p>\n\n\n\n<div style=\"display:none\" class=\"fm-form-container fm-theme52\"><div id=\"fm-pages11\" class=\"fm-pages wdform_page_navigation \" show_title=\"\" show_numbers=\"1\" type=\"none\"><\/div><form name=\"form11\" action=\"\/wordpress\/wp-json\/wp\/v2\/pages\/10307\" method=\"post\" id=\"form11\" class=\"fm-form form11  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"fm_page_id11\" value=\"10307\" name=\"fm_page_id11\" \/><input type=\"hidden\" id=\"fm_current_post_type11\" value=\"page\" name=\"fm_current_post_type11\" \/><input type=\"hidden\" id=\"counter11\" value=\"25\" name=\"counter11\" \/><input type=\"hidden\" id=\"Itemid11\" value=\"\" name=\"Itemid11\" \/><input type=\"hidden\" id=\"fm_shake11\" value=\"1\" name=\"fm_shake11\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation11\" value=\"\" name=\"fm_empty_field_validation11\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"wdform-page-and-images fm-form-builder\"><div id=\"11form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"true\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section fm-col-1\"><div class=\"wdform_column\"><div wdid=\"23\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_date_new\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\">    <label  for=\"wdform_23_element11\" class=\"wdform-label\">Date you are available to schedule your first visit.<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"11\" data-wdid=\"23\" data-valid-type=\"date\" type=\"text\" id=\"wdform_23_element11\" data-value=\"\" value=\"\" name=\"wdform_23_element11\"   \/><span id=\"fm-calendar-23\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-hidden\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"mm\/dd\/yy\" data-min=\"\" data-max=\"\" id=\"wdform_23_button11\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"24\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_textarea\" ><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_24_element11\" class=\"wdform-label\">If filling out this form for a child under 18 or your  child\/children that will be volunteering with you please list the names and ages.<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 400px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_24_element11\"                      name=\"wdform_24_element11\"                      placeholder=\"\"                      data-value=\"\"                      maxlength=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_name\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_3_element_first11\" class=\"wdform-label\">Name<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_3_element_first11\" name=\"wdform_3_element_first11\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_3_element_first11\">First<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_3_element_last11\" name=\"wdform_3_element_last11\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_3_element_last11\">Last<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_address\" ><div class=\"wdform-label-section wd-width-100 wdform_address wd-flex-column\">    <label  for=\"wdform_5_street111\" class=\"wdform-label\">Address<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-address\" id=\"wdform_5_address_0\">                <input class=\"wd-width-100 wdform_5_address_0\" type=\"text\" id=\"wdform_5_street111\" name=\"wdform_5_street111\" value=\"\"  \/>                <label for=\"wdform_5_street111\" class=\"mini_label\">Street Address<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\" id=\"wdform_5_address_2\">                <input class=\"wd-width-100 wdform_5_address_2\" type=\"text\" id=\"wdform_5_city11\" name=\"wdform_7_city11\" value=\"\"  \/>                <label for=\"wdform_5_city11\" class=\"mini_label\">City<\/label><\/span><span class=\"wd-width-49 wd-address\" id=\"wdform_5_address_3\">                <input class=\"wd-width-100 wdform_5_address_3\" type=\"text\" id=\"wdform_5_state11\" name=\"wdform_8_state11\" value=\"\"  \/>                <label for=\"wdform_5_state11\" class=\"mini_label\">State \/ Province \/ Region<\/label><\/span><span class=\"wd-width-49 wd-address\" id=\"wdform_5_address_4\">              <input class=\"wd-width-100 wdform_5_address_4\" type=\"text\" id=\"wdform_5_postal11\" name=\"wdform_9_postal11\" value=\"\"  \/>              <label for=\"wdform_5_postal11\" class=\"mini_label\">Postal \/ Zip Code<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_phone\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_phone\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_20_element_first11\" class=\"wdform-label\">Phone-Area Code<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-20\">                <input type=\"text\" class=\"wd-phone-first\" id=\"wdform_20_element_first11\" name=\"wdform_20_element_first11\" value=\"\" title=\"\" placeholder=\"\" >                <label for=\"wdform_20_element_first11\" class=\"mini_label wd-flex-column\">Area Code<\/label>              <\/div>              <div>                <div class=\"wd-flex wd-flex-column \">&nbsp;-&nbsp;<\/div>              <\/div>              <div class=\"wd-flex wd-flex-column wd-width-80\">                <input type=\"text\" class=\"wd-flex-column wd-width-100\" id=\"wdform_20_element_last11\" name=\"wdform_20_element_last11\" value=\"\" title=\"\" placeholder=\"\"  \/>                <label for=\"wdform_20_element_last11\" class=\"wd-flex-column mini_label\">Phone Number<\/label>              <\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"12\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_submitter_mail\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row\">    <label  for=\"wdform_12_element11\" class=\"wdform-label\">Email<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_12_element11\" name=\"wdform_12_element11\" data-value=\"\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('12', '11', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"13\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_fields\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_fields\" ><div class=\"wdform-label-section wd-width-100 wdform_date_fields wd-flex-row\">    <label  for=\"wdform_13_day11\" class=\"wdform-label\">Date of Birth<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_date_fields wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row wd-width-100 wd-align-items\"><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_13_day11\" name=\"wdform_13_day11\" class=\"wdform_select_day\" style=\"width: 60px;\" ><option value=\"\"><\/option><option value=\"01\" >01<\/option><option value=\"02\" >02<\/option><option value=\"03\" >03<\/option><option value=\"04\" >04<\/option><option value=\"05\" >05<\/option><option value=\"06\" >06<\/option><option value=\"07\" >07<\/option><option value=\"08\" >08<\/option><option value=\"09\" >09<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><option value=\"12\" >12<\/option><option value=\"13\" >13<\/option><option value=\"14\" >14<\/option><option value=\"15\" >15<\/option><option value=\"16\" >16<\/option><option value=\"17\" >17<\/option><option value=\"18\" >18<\/option><option value=\"19\" >19<\/option><option value=\"20\" >20<\/option><option value=\"21\" >21<\/option><option value=\"22\" >22<\/option><option value=\"23\" >23<\/option><option value=\"24\" >24<\/option><option value=\"25\" >25<\/option><option value=\"26\" >26<\/option><option value=\"27\" >27<\/option><option value=\"28\" >28<\/option><option value=\"29\" >29<\/option><option value=\"30\" >30<\/option><option value=\"31\" >31<\/option><\/select><label for=\"wdform_13_day11\" class=\"mini_label\">day<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_13_month11\" name=\"wdform_13_month11\" class=\"wdform_select_month\" style=\"width: 100px;\" ><option value=\"\"><\/option><option value=\"01\"   >January<\/option><option value=\"02\" >February<\/option><option value=\"03\" >March<\/option><option value=\"04\"  >April<\/option><option value=\"05\"  >May<\/option><option value=\"06\"  >June<\/option><option value=\"07\"  >July<\/option><option value=\"08\"  >August<\/option><option value=\"09\"  >September<\/option><option value=\"10\"  >October<\/option><option value=\"11\" >November<\/option><option value=\"12\"  >December<\/option><\/select><label for=\"wdform_13_month11\" class=\"mini_label\">month<\/label><\/div><span class=\"wdform_separator\">&nbsp;\/&nbsp;<\/span><div class=\"wd-flex wd-flex-column\"><select id=\"wdform_13_year11\" name=\"wdform_13_year11\"  from=\"1901\" to=\"2019\" class=\"wdform_select_year\" style=\"width: 80px;\" ><option value=\"\"><\/option><option value=\"2019\" >2019<\/option><option value=\"2018\" >2018<\/option><option value=\"2017\" >2017<\/option><option value=\"2016\" >2016<\/option><option value=\"2015\" >2015<\/option><option value=\"2014\" >2014<\/option><option value=\"2013\" >2013<\/option><option value=\"2012\" >2012<\/option><option value=\"2011\" >2011<\/option><option value=\"2010\" >2010<\/option><option value=\"2009\" >2009<\/option><option value=\"2008\" >2008<\/option><option value=\"2007\" >2007<\/option><option value=\"2006\" >2006<\/option><option value=\"2005\" >2005<\/option><option value=\"2004\" >2004<\/option><option value=\"2003\" >2003<\/option><option value=\"2002\" >2002<\/option><option value=\"2001\" >2001<\/option><option value=\"2000\" >2000<\/option><option value=\"1999\" >1999<\/option><option value=\"1998\" >1998<\/option><option value=\"1997\" >1997<\/option><option value=\"1996\" >1996<\/option><option value=\"1995\" >1995<\/option><option value=\"1994\" >1994<\/option><option value=\"1993\" >1993<\/option><option value=\"1992\" >1992<\/option><option value=\"1991\" >1991<\/option><option value=\"1990\" >1990<\/option><option value=\"1989\" >1989<\/option><option value=\"1988\" >1988<\/option><option value=\"1987\" >1987<\/option><option value=\"1986\" >1986<\/option><option value=\"1985\" >1985<\/option><option value=\"1984\" >1984<\/option><option value=\"1983\" >1983<\/option><option value=\"1982\" >1982<\/option><option value=\"1981\" >1981<\/option><option value=\"1980\" >1980<\/option><option value=\"1979\" >1979<\/option><option value=\"1978\" >1978<\/option><option value=\"1977\" >1977<\/option><option value=\"1976\" >1976<\/option><option value=\"1975\" >1975<\/option><option value=\"1974\" >1974<\/option><option value=\"1973\" >1973<\/option><option value=\"1972\" >1972<\/option><option value=\"1971\" >1971<\/option><option value=\"1970\" >1970<\/option><option value=\"1969\" >1969<\/option><option value=\"1968\" >1968<\/option><option value=\"1967\" >1967<\/option><option value=\"1966\" >1966<\/option><option value=\"1965\" >1965<\/option><option value=\"1964\" >1964<\/option><option value=\"1963\" >1963<\/option><option value=\"1962\" >1962<\/option><option value=\"1961\" >1961<\/option><option value=\"1960\" >1960<\/option><option value=\"1959\" >1959<\/option><option value=\"1958\" >1958<\/option><option value=\"1957\" >1957<\/option><option value=\"1956\" >1956<\/option><option value=\"1955\" >1955<\/option><option value=\"1954\" >1954<\/option><option value=\"1953\" >1953<\/option><option value=\"1952\" >1952<\/option><option value=\"1951\" >1951<\/option><option value=\"1950\" >1950<\/option><option value=\"1949\" >1949<\/option><option value=\"1948\" >1948<\/option><option value=\"1947\" >1947<\/option><option value=\"1946\" >1946<\/option><option value=\"1945\" >1945<\/option><option value=\"1944\" >1944<\/option><option value=\"1943\" >1943<\/option><option value=\"1942\" >1942<\/option><option value=\"1941\" >1941<\/option><option value=\"1940\" >1940<\/option><option value=\"1939\" >1939<\/option><option value=\"1938\" >1938<\/option><option value=\"1937\" >1937<\/option><option value=\"1936\" >1936<\/option><option value=\"1935\" >1935<\/option><option value=\"1934\" >1934<\/option><option value=\"1933\" >1933<\/option><option value=\"1932\" >1932<\/option><option value=\"1931\" >1931<\/option><option value=\"1930\" >1930<\/option><option value=\"1929\" >1929<\/option><option value=\"1928\" >1928<\/option><option value=\"1927\" >1927<\/option><option value=\"1926\" >1926<\/option><option value=\"1925\" >1925<\/option><option value=\"1924\" >1924<\/option><option value=\"1923\" >1923<\/option><option value=\"1922\" >1922<\/option><option value=\"1921\" >1921<\/option><option value=\"1920\" >1920<\/option><option value=\"1919\" >1919<\/option><option value=\"1918\" >1918<\/option><option value=\"1917\" >1917<\/option><option value=\"1916\" >1916<\/option><option value=\"1915\" >1915<\/option><option value=\"1914\" >1914<\/option><option value=\"1913\" >1913<\/option><option value=\"1912\" >1912<\/option><option value=\"1911\" >1911<\/option><option value=\"1910\" >1910<\/option><option value=\"1909\" >1909<\/option><option value=\"1908\" >1908<\/option><option value=\"1907\" >1907<\/option><option value=\"1906\" >1906<\/option><option value=\"1905\" >1905<\/option><option value=\"1904\" >1904<\/option><option value=\"1903\" >1903<\/option><option value=\"1902\" >1902<\/option><option value=\"1901\" >1901<\/option><\/select><label for=\"wdform_13_year11\" class=\"mini_label\">year<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_14_element11\" class=\"wdform-label\">Emergency Contact:  Name <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_14_element11\"                           name=\"wdform_14_element11\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       attribute=value \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"15\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_15_element11\" class=\"wdform-label\">Emergency Phone Number<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_15_element11\"                           name=\"wdform_15_element11\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"16\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_text\" ><div class=\"wdform-label-section wd-width-30  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_16_element11\" class=\"wdform-label\">Emergency Contact Relationship <\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-70\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_16_element11\"                           name=\"wdform_16_element11\"                           value=\"\"                           data-value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_date_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_date_new\" ><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_4_element11\" class=\"wdform-label\">Date signing of this RVHR Release of Liablity Form<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input class=\"wd-width-100\" autocomplete=\"off\" onchange=\"wd_validate(this)\" data-form-id=\"11\" data-wdid=\"4\" data-valid-type=\"date\" type=\"text\" id=\"wdform_4_element11\" data-value=\"\" value=\"\" name=\"wdform_4_element11\"   \/><span id=\"fm-calendar-4\" class=\"dashicons dashicons-calendar-alt wd-calendar-button wd-hidden\"><\/span><input type=\"hidden\" class=\"hidden_date\" data-format=\"mm\/dd\/yy\" data-min=\"\" data-max=\"\" id=\"wdform_4_button11\" value=\"\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"17\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>Once you have completed this form you will be directed to the next needed form.\u00a0 RVHR Rules.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"19\" class=\"wdform_row\"><div type=\"type_captcha\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row fm-type_captcha\" ><div class=\"wdform-label-section wd-width-30 wd-hidden  wd-flex-row wd-align-items-center\" style=\"max-width: 200px;\">    <label  for=\"wd_captcha_input11\" class=\"wdform-label\">Word Verification<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><img decoding=\"async\" type=\"captcha\"                           digit=\"6\"                           src=\" https:\/\/www.rvhr.com\/wordpress\/wp-admin\/admin-ajax.php?action=formmakerwdcaptcha&digit=6&i=11\"                           id=\"wd_captcha11\"                           class=\"captcha_img wd-hidden\"                            \/><div class=\"captcha_refresh\" id=\"_element_refresh11\" ><\/div><input type=\"text\"                              class=\"captcha_input\"                              id=\"wd_captcha_input11\"                              name=\"captcha_input\"                              style=\"width: 80px;\"                               \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"22\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><p>By clicking the Submit Button you are acknowledging that you have read all of the above information and are signing this form electronically with RVHR.\u00a0<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column fm-type_submit_reset\" ><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('11');\"  attribute=value data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit<\/button><button  type=\"button\" class=\"button-reset \" onclick=\"fm_reset_form(11);\"  attribute=value>Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer wd-width-100\"><div class=\"wd-width-100\"><div class=\"wd-width-100 wd-table\" style=\"padding-top:10px;\"><div class=\"wd-table-group\"><div id=\"11page_nav1\" class=\"wd-table-row\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><input type=\"hidden\" name=\"fm-current-page\" value=\"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/pages\/10307\" \/><\/form><\/div> RVHR&#8217;s Release of Liability\n","protected":false},"excerpt":{"rendered":"<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_10307\" class=\"pvc_stats all  \" data-element-id=\"10307\" style=\"\"><i class=\"pvc-stats-icon large\" aria-hidden=\"true\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" version=\"1.0\" viewBox=\"0 0 502 315\" preserveAspectRatio=\"xMidYMid meet\"><g transform=\"translate(0,332) scale(0.1,-0.1)\" fill=\"\" stroke=\"none\"><path d=\"M2394 3279 l-29 -30 -3 -207 c-2 -182 0 -211 15 -242 39 -76 157 -76 196 0 15 31 17 60 15 243 l-3 209 -33 29 c-26 23 -41 29 -80 29 -41 0 -53 -5 -78 -31z\"\/><path d=\"M3085 3251 c-45 -19 -58 -50 -96 -229 -47 -217 -49 -260 -13 -295 52 -53 146 -42 177 20 16 31 87 366 87 410 0 70 -86 122 -155 94z\"\/><path d=\"M1751 3234 c-13 -9 -29 -31 -37 -50 -12 -29 -10 -49 21 -204 19 -94 39 -189 45 -210 14 -50 54 -80 110 -80 34 0 48 6 76 34 21 21 34 44 34 59 0 14 -18 113 -40 219 -37 178 -43 195 -70 221 -36 32 -101 37 -139 11z\"\/><path d=\"M1163 3073 c-36 -7 -73 -59 -73 -102 0 -56 133 -378 171 -413 34 -32 83 -37 129 -13 70 36 67 87 -16 290 -86 209 -89 214 -129 231 -35 14 -42 15 -82 7z\"\/><path d=\"M3689 3066 c-15 -9 -33 -30 -42 -48 -48 -103 -147 -355 -147 -375 0 -98 131 -148 192 -74 13 15 57 108 97 206 80 196 84 226 37 273 -30 30 -99 39 -137 18z\"\/><path d=\"M583 2784 c-38 -19 -67 -74 -58 -113 9 -42 211 -354 242 -373 16 -10 45 -18 66 -18 51 0 107 52 107 100 0 39 -1 41 -124 234 -80 126 -108 162 -133 173 -41 17 -61 16 -100 -3z\"\/><path d=\"M4250 2784 c-14 -9 -74 -91 -133 -183 -95 -150 -107 -173 -107 -213 0 -55 33 -94 87 -104 67 -13 90 8 211 198 130 202 137 225 78 284 -27 27 -42 34 -72 34 -22 0 -50 -8 -64 -16z\"\/><path d=\"M2275 2693 c-553 -48 -1095 -270 -1585 -649 -135 -104 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d=\"M2375 1950 c-198 -44 -350 -190 -395 -379 -18 -76 -8 -221 19 -290 114 -284 457 -406 731 -260 98 52 188 154 231 260 27 69 37 214 19 290 -38 163 -166 304 -326 360 -67 23 -215 33 -279 19z\"\/><\/g><\/svg><\/i> <img loading=\"lazy\" decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/www.rvhr.com\/wordpress\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n<p>To print a copy of any of the following forms for your records right click on any part of the pages and click print. Thank you for wanting to help &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10307","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/pages\/10307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/comments?post=10307"}],"version-history":[{"count":5,"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/pages\/10307\/revisions"}],"predecessor-version":[{"id":11304,"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/pages\/10307\/revisions\/11304"}],"wp:attachment":[{"href":"https:\/\/www.rvhr.com\/wordpress\/wp-json\/wp\/v2\/media?parent=10307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}