2004-2005
Ullman-Frost 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 _____________________________________

US Sailing # _______________________________________  E-mail Address ____________________________

Laser Class Membership Card Copy Attached [  ]                 Ullman Series - Laser [  ] Frost Series - Radial [  ]
Laser Class Membership E-mail Copy Attached [  ]
Laser Class Membership Form & Payment Attached [  ]

 

Skipper Signature _______________________________________________  Date ________________________

Parent/Guardian Signature (if under 18) __________________________________________________________

Date ________________________

Entry fee of $25.00 is enclosed    Please make check payable to: SCYYRA

Return to:
Ullman-Frost Series
c/o L. Douglas Sloan - 3415 Nielsen Road - Santa Rosa, CA 95404