Ride A Wave Volunteer Information

For Year 2003/Renewed Annually

Print out this form, and then fill out completly. *Don't forget to sign at the Bottom!*

Mail to: Ride-A-Wave, P.O. Box 7606, Santa Cruz, CA 95061

Name______________________________________ Phone (H) ________________

Email______________________________________ Phone (W)________________

Volunteer Areas of Interest/Experience:

___ Tandem Surf ___ Surf Escort ___ Body Board ___ Kayak ___ Beach Help

Experienced with RAW: ______ New Volunteer_____

Which Date are you planning on going to Training? April 12/2:00PM___OR May 4, 9:00AM_____

2002:  Approx  # of camps____ Volunteer Assignments_____________________

2001: Approx. # of camps ____Volunteer Assignments_____________________

2000: Approx. # of camps ____Volunteer Assignments_____________________

1999: Approx. # of camps ____Volunteer Assignments_____________________

1998: Approx. # of camps ____Volunteer Assignments_____________________

Camps I know I am planning to work:

___ May 10th ___ May 11th ___ June 6th (This is a Friday; it will be more difficult to find help)

___ June 7th  ___  June 8th ___ June 21 ___ July 19(Shared Adventures)___ August 3rd

_____ Malibu Boardriders Camp Good Times. In September, date to be announced.

I, ______________________, hereby release Ride A Wave (R.A.W.) and any of its members, the City of Santa Cruz and Santa Clara Firefighters Local 1171 from any and all claims of liability that may arise from my participation in any program or event in which Ride A Wave, the City of Santa Cruz, Santa Clara Firefighters Local 1171 or its members participate. This release includes, but is not limited to, claims of negligence or any physical injury. I also authorize the Ride A Wave program to use photographs and/or video from this event, in which I may appear, in order to promote their programs.

__________________________ ______________________________ ___________

Name (Print) Signature Date

__________________________ ______________________________ ____________

Parent/Guardian if volunteer is under 18 Signature Date

______________________________________________________________________

To be completed by RAW Coordinator:

Training Completed

Tandem      Date:_________      RAW Coordinator:___________________

Escort  Date:_________      RAW Coordinator___________________

Bodyboard Date:_________      RAW Coordinator:___________________

Kayak Date:_________      RAW Coordinator:___________________