HRRA Service Hours Submission Form

HRRA members and Boathouse tenants may use this form to be credited for service hours in lieu of using the logbook in the boathouse. All hours will be confirmed by the Service Event Leader

FIRST NAME

This is a required question

LAST NAME

This is a required question

PHONE NUMBER

123-456-7890 IN THIS FORMAT

This is a required question

SERVICE DATES

MONTH/DAY/YEAR - MONTH /DAY/YEAR

This is a required question

AMOUNT OF TIME VOLUNTEERED

(EX. 1.5 HOURS) *

This is a required question

SERVICE DESCRIPTION

(IE. DOCK REMOVAL,RIVER SWEEP,PARKING):

This is a required question

VOLUNTEER BENEFICIARY (IF KNOWN)

HRRA Boathouse
HRRA Programs
HRRA Board Member

This is a required question

WHAT PROGRAM DO YOU ROW WITH MOST OFTEN?

This is a required question

WHAT PROGRAM DO YOU ROW WITH MOST OFTEN?

This is a required question

IF YOU ARE VOLUNTEERING ON BEHALF OF A JUNIOR ROWER PLEASE LIST HIS/HER NAME:

This is a required question