2004-2005
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 I am 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. Skipper's 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 ________________ Sail # __________________ T-shirt Size _________________________________
Skipper Signature __________________________________________________________ Date ____________ Parent/Guardian Signature (if under 18) ________________________________________ Date _____________ Crew Signature __________________________________________________________ Date ____________ Parent/Guardian Signature (if under 18) ________________________________________ Date _____________ Entry fee of $30.00 payable to: SCYYRA Return your entry, with
your entry fee, by mail to:
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