2003-2004 Shadden 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.


Sail No. (mandatory)___________________________
Yacht Club________________________________

Skipper_____________________________________

Address_____________________________________

City/State/Zip_________________________________
M F Birth Date___/___/___ T -Shirt Size _____

Home Phone_______________________________

Fax ______________________________________

Crew_______________________________________

Address_____________________________________

City/State/Zip_________________________________
M F Birth Date___/___/___ T -Shirt Size _____

Home Phone________________________________

Fax ______________________________________

Skipper Signature______________________________________________________ Date______________________

Parent/Guardian Signature (if under 18) ___________________________________ Date______________________

Crew Signature________________________________________________________ Date______________________

Parent/Guardian Signature (if under 18) ___________________________________ Date______________________

Entry fee of $35.00 is enclosed
Please make check payable to: SCYYRA

CFJ Class Membership for _____________________________ is enclosed

Either skipper or crew must be a member of the CFJ Class Association. If none of you are members please enclose a check in the amount of $15 made out to the CFJ Class Association, and indicate the name of the person joining above.

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SHADDEN SERIES
c/o US SAILING Center LB - 5489 East Ocean Blvd, Long Beach, CA 90803-4405