SCORA Fundraiser Approval Form
PLEASE SUBMIT AT LEAST 2 WEEKS PRIOR TO EVENT.

Under SCORA's insurance policy, each club is allowed a maximum of 6 fundraisers annually with no charge, but subject to the club submitting the Fundraiser Approval Form. If no form is submitted, there’s no coverage.

For any independent contractor that will be providing a service at the event, please ensure they provide you with a Certificate of Insurance that names the following as Additional Insureds: Southern California Outrigger Racing Association and (your club).

Email address *
Your Name *
Your answer
SCORA Club *
Your answer
Name of Event *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Time *
Your answer
Estimated Gross Receipts *
Your answer
Event Location *
Your answer
Is owner of the premises requiring Proof of Insurance? *
Is owner of the premises requiring a Certificate of Insurance? *
If so, what is the Name and Address of Additional Insured?
Your answer
Is security being provided? *
Are you using a caterer? *
If yes, are they insured?
Are you providing entertainment? *
If yes, are they insured?
Is liquor being sold or provided at no cost? *
If liquor is being sold, estimated liquor receipts?
Your answer
Is there a limit on the amount of liquor that will be served to an individual?
Will anyone be monitoring the amount of liquor being served to an individual?
Fundraiser details (include number of participants, equipment being used, event logistics, etc) *
Please be as descriptive as possible
Your answer
A copy of your responses will be emailed to the address you provided.
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