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