SoCal Oper-water Swimming Support - Application Form (for crew)
Tell us about yourself, your availability, and the type of support you can provide.
Please contact Neil or Gracie van der Byl at nvanderbyl@att.net or gvanderbyl@att.net for more information.
Name
Your answer
Last Name
Your answer
Location
Country / City
Your answer
Address
Your answer
Gender (M/F)
Your answer
Date of Birth
Your answer
E-Mail
Your answer
Alternate e-Mail
Your answer
Cell Phone
Your answer
Day-time Phone
Your answer
Roles
(e.g. If you decide to support as an observer only, you will not be contacted to support a swim as a kayaker)
Required
Selection Criteria - Active?
UNCHECK this box if you plan to be INACTIVE for only this season - you will remain in the database for future reference
Required
SoCal Open Water Swim Support-Certified?
Contact Neil or Gracie if you are ready / interested
Support Method
e.g. kayak, SUP, paddleboard, other - please specify equipment needs in notes section
Own support equipment?
e.g. feeding systems, bowline, headlamp, marine radio, etc.
Opt Out
Remove from distribution list (no longer available to support SoCal swimmers going forward)
Volunteer or Compensation Needed
Your answer
Experience
This section helps the swimmer match your skill-set to crew needs
Experience since (year)
Your answer
Comments: (if "Active" this season, please leave your preferred availability or any swims you already committed for)
Your answer
Read the terms in this link carefully before agreeing (check box is considered your signature on the date of submission):
Required
Getting swimmers to their goal fast and safely is our #1 priority!
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