2024 Allegheny River Rumble VOLUNTEER Registration
Participant Type
*
Please Select
Athlete
Volunteer
Family / Friend
Education
Military Staff
Sports Provider
Medical Professional
Move United Board Member
Warfighter
Move United Member
Participant Sub-type
*
Please Select
Pre 2001 Veteran
Post 2001 Veteran
Military Family
Foreign Military
Veteran w/o Disability
Professor
Student
Educational Professional
Primary Contact
Secondary Contact
K-12 Educator
School Administrator
Athletic Director
Official
Coach
Trainer
Classifier
Executive Director
Program Director
Program Manager
Program Coordinator
None
Branch of Service
*
Please Select
N/A
Air Force
Army
Coast Guard
Marine Corps
National Guard
Navy
Rank
Please Select
1LT
1SG
2LT
BG
Capt
COL
CPL
CSM
CW2
CW3
CW4
CW5
GEN
LTC
LTG
MAJ
MG
MSG
PFC
PV2
PVT
SGM
SGT
SMA
SPC
SSG
WO1
Last Name
*
First Name
*
Birth Date
*
-
Month
-
Day
Year
Date
Disability Type
*
Please Select
Neuromuscular
Mobility Impairment and/or Limb Loss
Deaf or Hard of Hearing
Blind or Low Vision
Cognitive / Intellectual
Dwarfism or Short Stature
Not Listed
I do not identify as having a Disability
Prefer not to say
Disability Sub-Type
*
Please Select
Cerebral Palsy
Multiple Sclerosis
Nerve Damage
Post Polio
Post Traumatic Stress Disorder
Spina Bifida
Spinal Cord Injury or Paralysis
Stroke
Traumatic Brain Injury
Joint Injury
Other
None
Date of Injury
-
Month
-
Day
Year
Date
Place of Injury
Gender
*
Please Select
Male
Female
Non-Binary
Prefer to Self Describe
Prefer not to Say
LGBTQ
*
Please Select
None
Yes
No
Prefer not to Say
Race
*
Please Select
White
Asian
Black or African American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Prefer not to Answer
Not Listed
Hispanic, Latino or Spanish Origin
*
Please Select
No, not of Hispanic, Latino or Spanish Origin
Yes, I am of Hispanic, Latino or Spanish Origin
Address
*
City
*
State
*
Zip
*
Cell Phone
*
Home Phone
*
E-mail
*
ALL Volunteers MUST Complete the Clearance Process. Have you done so?
*
Yes
No
If so, what year?
*
To complete the volunteer clearance process,
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]
*
Provide Emergency contact name, phone, and relationship.
*
By Clicking 'Submit' You will be taken to our Liability Waiver
Submit
Should be Empty: