Bill Braxton Memorial Regatta Entry Form

Entry Form - due October 27

ENTRY FEES:
Eights $70.00; Quads/Fours $45.00; Doubles/Pairs $35.00; Singles $20.00.

Event Number _________ Event Title ______________________________

Name of Organization(s) Submitting Entry ______________________________
(If more than one organization is submitting entry, please list all organizations. If unaffiliated, designate as such.) Please print or type competitor's names.

	First Name	Last Name	Age *	Year of Birth
1.	________________	________________	________	________
2.	________________	________________	________	________
3.	________________	________________	________	________
4.	________________	________________	________	________
5.	________________	________________	________	________
6.	________________	________________	________	________
7.	________________	________________	________	________
8.	________________	________________	________	________
Average age of crew (Masters only) ________
Cox	________________	________________	________	________
Subs	________________	________________	________	________
	________________	________________	________	________

* Age is required for Masters and Juniors. Please use your age as of December 31, 2002. If no age is given for a Masters crew there will be no handicap for that crew.

Contact Person	________________	Day Phone	________________
	print name	Evening Phone	________________
		Fax	________________
Mailing Address	________________________________
	________________________________

I authorize that the above competitors have completed waivers and are eligible for this event.

Signature of Organization Official ________________________________