Travel Team Request Form

You can either fill out the form below or download and submit a hard copy.

Race Name

Date of Race

MM

DD

YYYY

Location of Race

Registration Fee

Are you requesting reimbursement from the Hanohano Travel Fund?

Yes

No

Team Captain Contact

First Name

Last Name

Team Captain Email

List all team members

Insurance

Does this race require you to provide an insurance certificate from SCORA? If so, who should be named as additional insured?

Canoe

Have you secured a canoe? If yes, from whom?

Chase Boat

Have you secured a chase boat (if needed)? If yes, from whom?

Hanohano Equipment

What, if any, Hanohano equipment will you be using/borrowing for the race?

Medical History

Please discuss your medical histories or other concerns with all your crew present prior to submitting this form. Add any pertinent information below: