Tracked Wheelchair On-Line Reservation Form

 

TRACKED WHEELCHAIR RESERVATION PROCESS

Through a cooperative effort of the Northern Kettles Chapter of the National Wild Turkey Federation and American Legion Friedrichs-Mueller-Norgaard, WI Post 149 Sheboygan Falls, WI a tracked wheelchair is available for persons with mobility difficulties to use free of charge to enjoy outdoor activities as independently as possible.

Reservations for the tracked wheelchair will be on a first-come, first-served basis.

The 350 lb. tracked wheelchair will be loaded on a trailer with a total weight 1,900 lbs. and a tongue weight of 350 lbs. Please make sure you will have access to a tow vehicle with the proper capacity and a minimum Class III hitch with a 2” ball before making a reservation. When picking up and returning the chair, you will be required sign a chair & trailer condition report. The chair and trailer will need to be returned in the same or better condition as checked out.

You and your attendant (if applicable) will need to acknowledge that you have read the Action TrackChair Owner's Manual (Requires Adobe PDF Viewer or Compatible) pages 4-8 and 11, have received hands-on instruction at the time of pick up, and have provided a signed liability waiver form before the equipment can be released to you. If you have any questions please ask. We will make every effort to be certain you understand how to safely operate the tracked wheelchair so that you may enjoy a perfect day in the outdoors.

The driver(s) of the vehicle pulling the trailer will have to provide a valid driver’s license and proof of auto insurance at time of pickup. No more than 2 drivers please.

A Northern Kettles Chapter – NWTF member acting as a volunteer for American Legion Post 149 will contact you to let you know your specified time and finalize pick up and drop off instructions and location.

Tracked Wheelchair Reservation Form
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