707-228-0679

VETERANS WITH PTSD

707-228-0679

Home
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PTSD

Home
About
Surf Dogs
Swimming Dogs
Healing Dogs
Assistance Dogs
Programs
PTSD

REGISTER TO VOLUNTEER

If you would like to volunteer in a Waves of Empowerment session, please register by completing the form below. See you there!

* Indicates required field

Your name *

First

Last

Email *

Phone # *

How did you hear about Ricochet, Cori or Waves of Empowerment? *

# of adults attending *

# of kids attending *

Does your child under the age of 18 want to volunteer? *

Yes No

If so, what is the child's name? *

Age? *

Click here to see volunteer opportunities then, enter which one(s) you or your child would like to do in the box below

Enter volunteer opportunity *

Would you like to be a back-up mentor if we don't have enough military mentors? *

Yes No

Are you a veteran or active duty service member? *

Yes No

Do you need a life jacket? *

Yes No

Do you need a wetsuit? *

Yes No

If yes, please complete the boxes below

Gender *

Male Female

Weight *

Height *

Do you have an interest in media interviews? *

Yes No

Do you or your child have special needs or challenges? *

Yes No

If yes, please describe *

Will you be bringing a service dog? *

Yes No

Do you need a beach wheelchair? *

Yes No

Understood and agreed to by:

I have read and agreed *

Check here to indicate that you have read & agree to the terms of the waivers and releases.

Click here to read the photo release, volunteer waiver, insurance waiver, and release of liability. Your electronic signature below indicates that you have read the waivers and releases carefully and fully understand their provisions and agree with all of their conditions.

I am 18 years or older *

Yes No

Names of children, other family members or friends you're signing for *

Electronic signature *

Date signed *

Submit

Surfing locations

The primary location where we surf is La Jolla Shores. Sometimes we surf at Cardiff. Below are maps for both locations.

REGISTER TO VOLUNTEER

​Understood and agreed to by:

Surfing locations

Understood and agreed to by: