Make a Big Day for a Lot of Littles!

  
BIG BROTHERS & BIG SISTERS click here to register your little with Big Brothers Big Sisters of Greater Charlotte.
What does a boat host do?
Click here and find out.

Boat Host Registration

Boat Host Registration
Contact Information

Please complete the form below. * indicates required information.
Last day to register as a boat host is Friday, July 13, 2012

First Name*
Last Name*
Address Street 1*
Address Street 2
City & State*
Zip Code* (5 digits)   
 Cell Phone*
Alternate Phone
Email *
Number of Matches Requested
(1 or 2)
1 match = 1 adult and 1 child
*
What make/model boat do you have?: *
What is the length of your boat? *
Ins. Carrier *
Insurance Policy No. *
Ins. Coverage Amount *
How many in your family will be attending the picnic around 1:30 pm? *
Are you currently a Big Brother or Big Sister?: *
Comments:

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