2004-2005
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 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.

Sail No
(mandatory) ________________________________________ Yacht Club _______________________________

Skipper ____________________________________________  M   F   Birthdate ___\___\___  T-shirt size ____

Address ___________________________________________   Home Phone _____________________________

City/State/Zip ______________________________________  Fax _____________________________________

Crew ______________________________________________  M   F   Birthdate ___\___\___  T-shirt size ____

Address ___________________________________________   Home Phone _____________________________

 

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.  A list of current members is posted at www.cfjclass.org. If you need to join, you can get a membership form from the website.

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.

Return to:
SHADDEN SERIES
c/o US Sailing Center LB - 5489 East Ocean Blvd, Long Beach, CA 90803-4405
562-433-7939 Phone   562-433-3668 Fax  
www.ussclb.org