2001 ANTEATER REGATTA

TEAM ENTRY FORM

SCHOOL: _________________________________ ADDRESS:_________________________________
TEAM CAPTAIN: ___________________________
CITY_____________________________________

COACH: _____________________________
DAY PHONE: _________________________
EVE PHONE: __________________________
STATE: _____         ZIP_______________

WE WOULD LIKE TO BE SEEDED IN: _____ Gold _____ Silver

BOAT INFORMATION:
Boat/Sail Number:
CF Number:

TEAM INFORMATION:

POSITION

DIVISION

NAME

YEAR

DATE OF BIRTH

Skipper

A

_______________________________

_________

____________

Crew

A

_______________________________

_________

____________

Alternate

A

_______________________________

_________

____________

Skipper

B

_______________________________

_________

____________

Crew

B

_______________________________

_________

____________

Alternate

B

_______________________________

_________

____________

HOUSING: We desire housing from ___________ to ___________ for _____________ team members

FOR HOUSING YOU MUST CONTACT PATTY O’DESKY AT (949)722-8806 OR podesky@aol.com

COACHES and PARENTS: A total of _____ coaches and _____ parents will accompany the team.

ENTRY FEES Before Dec 4 - $25 per team/ After Dec 4 - $35 per team = $______________________________

LUNCH FEE DUE

$6.00 per person –Must pre-order by Dec 4!!

# Saturday__________ x $6.00=__________
# Sunday    __________ x $6.00=__________
                            TOTAL  =   $____________

Team Captain Signature: ___________________________________         Date: ______________ 

OFFICE USE ONLY:         Date Received:________         Payment: Check #_________ or Cash _________

RETURN TO:     Anteater Regatta,c/o NHYC, 720 West Bay Ave, Balboa, CA 92661 - Fax (949) 673-3972