First Name

Last Name

Phone *

Email *

Services You Can Offer (select all that apply) *

Walking/Wading

Boating/Floatiing

Select all that apply

Do you Prefer Fly-fishing/Spin-fishing/Both

Fly-fishing

Spin Fishing

Select ALL that apply.

Volunteer Guide Requirements

Do you have any special requirements for the veteran participants or of the program in order to provide the services you offer?

What type of boat do you have/use?

Shallow water powered river boat

River Float boat with or without power

V-Bottom or other Lake/Ocean Boat

How many Veterans can your boat accommodate?

1-2

3-4

5+

This number applies to boat capacity

Do you have a basic boat liability insurance policy?

Yes

No

In the event of an accident, do occupants have a basic medical coverage rider? Would you be able to provide a copy for PHW's records prior to the event?

What Seasons might you be available to volunteer guiding?

Winter

Spring

Summer

Fall

Check ALL that apply.

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