JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Maui to Lanai Channel Swim – Escort Boat Interest Form (August 2026)
Sign in to Google
to save your progress.
Learn more
Full Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Primary Harbor
Your answer
Boat Name
Your answer
Make/Model & Length
Your answer
Engine Type
Your answer
Propeller Guard?
Yes
No
No but willing to install
Clear selection
Have you escorted a channel swimmer before? For this event or any other?
Yes
No
Clear selection
If yes, please list the channels or events.
Your answer
Are you comfortable navigating at slow speeds (1.5–3 mph) for extended periods?
Yes
No
Clear selection
Do you have a support person/crew member available to assist on race day?
Yes
No
Clear selection
Do you carry active Marine Liability Insurance?
Yes
No
Clear selection
Insurance Provider:
Your answer
Can you provide a Certificate of Insurance (COI) naming the event as additionally insured?
Yes
No
Need More Info
Clear selection
Please Check the Box if you have on board:
VHF Radio
GPS
First Aid Kit
USCG Required Life Jackets/Signaling devices
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hawaii Department of Education.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
