2003- 2004 Perry Perpetual Trophy Series
Entry Form
I agree to comply with the rules and regulations of each of the host clubs, US SAILING, and other rules under which this race or series is sailed. I agree to indemnify and hold host clubs and SCYYRA, their Officers, directors, and committeemen harmless of any liability of any nature whatsoever for accident or injury to myself, my guests, and/or boat, while racing or engaging in any activities related to or connected therewith.
I certify that all members of my crew, including myself, are able to swim. I agree to abide by the decisions of the race and protest committees. I further agree not to sail in hazardous conflict with commercial shipping.
Skippers Name___________________________________
Address________________________________________
City_______________ State_______ Zip_____________
Telephone__________________email_________________
Club Affiliation__________Age_____Sail #____________
T-Shirt Size______
Crew Name______________________________________
Address________________________________________
City_______________ State_______ Zip_____________
Telephone #________________email_________________
Club Affiliation_______________Age_____
T-Shirt Size_______
Skipper Signature______________________________________ Date________
Parent/Guardian Signature if under 18______________________
Crew Signature________________________________________ Date________
Parent/Guardian Signature if under 18______________________
Fee: $25.00 Entry Fee Payable to SCYYRA
Ck # ______________Cash_____________
Return your entry, with your entry fee, by mail to:
SCYYRA ’03-‘04 PERRY SERIES
c/o 3671 Liggett Drive
San Diego, CA 92106
For information contact the host club or Chuck Sinks at
(619) 818-6872 or via email at
csinks@answersresearch.com