Boat Registration

Thank you for your interest in donating your boat for the event weekend! Please complete the form below to express your interest, and the Boat Coordinator will be in touch. Please note: volunteering your boat requires your time to also drive the boat; all boaters are provided a gas card for the event!

Pontoons and v-hulls are used to provide a quality fishing experience for anglers with disabilities, some of whom are learning to fish!

Boat Registration Form – 2024

Any person or persons assisting with the act of fishing must by state law possess a valid Wisconsin Fishing License. This includes but is not limited to acts such as casting, reeling and baiting of hooks. Anglers with disabilities are exempt for this event.
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone (cell phone, day of event)*
Phone (home)
Email*
Shirt Size*
Which time(s) will you be attending*
- Saturday morning 7:00am-12:00pm
- Saturday afternoon 12:30pm-4:30pm
- Both
Boat Type (Boat must have valid Boat Registration)*
- Pontoon
- V-Hull
Boat Length*
Gate Width*
Boat Capacity Limit: Total # of people (not including yourself)*
Boat Weight Limit*
Fishing Assistant Request*
- Yes, I would like to have an assistant assigned to me (Note, that we may not have an assistant available to help assist you for the day)
- No, I have my own assistant or do not need one.
Name of Fishing Assistant
First Last
Release of Claims*
I have read the below Release of Claims and agree
RELEASE OF CLAIMS: In consideration of the acceptance of my participation in the FHNB July event, I release FHNB, the City of Madison, county of Dane, Governor Nelson State Park, all respective agents and employees, of the afore mentioned and all others connected with this event, from and liability or claims for an injury to body or property or illness that I sustain during my participation in this event. I understand that this release applies to myself, heirs and assigns. I represent that I am capable of participating in this event, recognizing that risk of injury may accompany such participation and acknowledge that this release is being relied upon by the above persons in permitting me to participate. I grant full permission to any and all of the foregoing to use any photographs, movies, recordings and other records of this event, without compensation.
By typing your name in this box, this is your signature and you agree to the terms above.*
First Last
Date*
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Comments
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Boat Registration

Boat Registration Form – 2024

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