Blind Fishing Derby Volunteers

Name *

First

Last

Phone *

Email *

Please select how you would prefer to volunteer your time.

Do you have a boat to take guests on?

What type of boat do you have? *

What size is your boat?

Do you have people to assist you on your boat? If yes, please provide their names below.

Not including yourself and your assistant(s) listed above, how many other guests can your boat accommodate?

Is your boat wheelchair accessible?

If yes, how many wheelchairs will your boat accommodate

Do you have a slip at KYC?

If yes, what is your slip #

Do you have a Marine Radio?

Additional information

Is there any additional information you would like to share?

Covid Safety Plan *

I hereby acknowledge that I have read the rules and regulations and the Covid 19 safety plan. I acknowledge and understand the following: (1) Participation includes possible exposure to and illness from infectious diseases including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; (2) I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the Released Parties.

Waiver and Release *

I hereby acknowledge that I have read the rules and regulations for these events, and be bound by them. In consideration of acceptance of this registration, I agree to save harmless and keep indemnified the Kelowna Yacht Club, its organizers and their representative agents, officials, servants and representatives against all claims, actions, costs, expenses, and demands in respect to death, injury, loss, or damage to my person or property, howsoever caused, arising out of or in connection with my taking part in these events notwithstanding that the same may have contributed to or caused or occasioned by the negligence of same bodies, or any of their agents, officials, servants or representatives. I further understand and agree that this release is binding upon myself, my heirs, executors, and assigns.

Confirm you are 18+ *

Fishing License

I understand that to fish at the Derby, I am required to provide a copy of my fishing license to the Club on or before the Derby.

Upload Fishing License

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