SoCal TEAM ENTRY FORM

SCHOOL:_____________________________________________________________________

ADVISOR_____________________________ PHONE:_______________e-MAIL______

COACH ________________________________ PHONE________________e-MAIL_______

COACH ________________________________ PHONE________________e-MAIL_______

TEAM INFORMATION:

Position Indicate if skipper has sailed Varsity A or B in 10% qualifier during the 2000-2004 seasons Last Name First Name Class of CF Number
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          
Skipper          
Crew          
Alternate          

Sailor Fee: $5.00/SAILOR                              Number of sailors(   ) x $5.00=$________________
Payable: Robert Anderson

This is to acknowledge that all the sailors listed are registered with PCISA

________________________________ ______________
Signature: Coach or Advisor                  Date