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Blind Fishing Derby Volunteers
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Phone
*
Email
*
Please select how you would prefer to volunteer your time.
*
Take guests fishing and have gear for all guests
Take guests fishing but have no gear
Take guests pleasure cruising
Help out day of event
Provide fishing gear
Do you have a boat to take guests on
*
Yes
No
This section is for individuals providing a boat
What type of boat do you have?
*
Bowrider
Surf/Ski
Pontoon
Cabin Cruiser/Cuddy
Fishing
Other
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), how many other guests can your boat accommodate?
Is your boat wheelchair accessible?
Yes
No
If yes, how many wheelchairs will your boat accommodate
Do you have a slip at KYC?
Yes
No
If yes, what is your slip #
Do you have a Marine Radio?
Yes
No
Additional information
Is there any additional information you would like to share?
Waiver & Releases
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+
*
By checking this box, you confirm that you are 18 years of age or older.
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.
Thank you for volunteering!
Submit
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