ENTRY FORM
20__
(Circle one) SEARS BEMIS SMYTHE
ASSOCIATION, AREA and NATIONAL CHAMPIONSHIP
Complete in full. Incomplete entry form will not be accepted. At the completion of the Association championship, send one copy to club or association conducting the Area championship with entry fee in accordance with Area policy.
Sailing Club or Affiliation of the skipper AREA (A-K) _______________
The following must be completed by an Officer of the skipper's sailing club or affiliation:
I certify the skipper is a member of the
Date By Officer
Officer Office held Print or type name
Individual or family membership in US Sailing is required fro competitors at all levels from Association level and up. Alternate may be named for Sears and Bemis crews.
SKIPPER M / F Birthdate / / WT US Sailing #
ADDRESS
CITY ST ZIP TEL#
CREW M / F Birthdate / / WT US Sailing #
ADDRESS
CITY ST ZIP TEL#
CREW M / F Birthdate / / WT US Sailing #
ADDRESS
CITY ST ZIP TEL#
CREW M / F Birthdate / / WT US Sailing #
ADDRESS
CITY ST ZIP TEL#
ALTERNATE M / F Birthdate / / WT US Sailing #
ADDRESS
CITY ST ZIP TEL#
I agree that I am an amateur as defined in Appendix R of the 1997-2000 ISAF Racing Rules of Sailing.
Signed Date
At the completion of the Area elimination, make copies of front and back of form and distribute as follows: 1. SEARS, BEMIS, SMYTHE: please check http://www.ussailing.org/youth/racing/jc for address of National contact person or contact US Sailing (401-683-0800) for more information. 2. SEARS, BEMIS SMYTHE: Events Manager, US Sailing, Box 1260, Portsmouth, RI 02871
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AREA ______
PLEASE RETURN THE FOLLOWING INFORMATION TO U.S. SAILING IMMEDIATELY AFTER COMPLETION OF EVENT
At the completion of the SA Championships, send one copy of the winner's and the runner-up's entry form to the host club or SA conducting the Area championships with the entry fee in accordance with Area policy.
The following is to be completed by the Association championship race committee chairman or chief judge. Please list below, in order of finish, the names of the helmsperson and their affiliation:
Skipper's Name Sailing Club / Affiliation
1.
2.
3.
4.
5.
6.
TOTAL NUMBER OF PARTICIPANTS IF MORE THAN SIX:
The team names on the front of this entry form was the winner/runner-up (circle one) of the association championship. The club to which members of theis crew belong are members of U.S. SAILING.
Date
By (Race Committe Chairman or Chief Judge)
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The following to be completed by the Chief Judge for the Area Championship. Please list below, in order of finish, the names of the helmsperson that sailed in the Area Championships:
Skipper's Name Association and Sailing Club / Affiliation
1.
2.
3.
4.
5.
6.
TOTAL NUMBER OF PARTICIPANTS IF MORE THAN SIX:
Date
By (Chief Judge)
