Allegheny River Rumble Volunteer Registration 2023
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
Date of Birth
*
/
Month
/
Day
Year
Date of Birth
Emergency Contact
*
ALL Volunteers MUST Complete the Clearance Process. Have you done so?
*
Yes
No
If so, what year?
*
Clearances MUST be renewed every FIVE Years.
Go to the
TRAS Volunteer Clearances Webpage Here.
Volunteer Positions Needed:
** Quick Release [16 or older]
*
Experienced
Need Training
Not Interested
**Jumper [requires strong swimming skills & familiarity with disabilities]: [16 or older]
*
Experienced
Need Training
Not Interested
**Water Starter [starts skiers from shore]: [16 or older]
*
Experienced
Need Training
Not Interested
**Equipment Setup [assist with fitting skier with proper equipment]:
*
Experienced
Need Training
Not Interested
Do you have a PA Safe Boating Certificate [required for anyone piloting a PWC] If YES, please bring your original certificate.
*
Yes
No
NA
Do you have training in:
*
CPR
First Aid
Lifeguard
Sign Language
Other or None
List any specific allergies you have:
*
List any specific limitations you have [lifting, swimming ability,etc]
*
Volunteers Make Our Clinic Possible, Thank You!
By Clicking 'Submit' You will be taken to our Liability Waiver
Submit
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