2002 ANTEATER REGATTA ENTRY FORM

2002 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 (Note PCISA will officially be seeding each team)
TEAM INFORMATION:
POSITION	DIVISION	NAME		YEAR		DATE OF BIRTH
Skipper	A	_______________________________		_________		____________
Crew	A	_______________________________		_________		____________
Alternate	A	_______________________________		_________		____________
Skipper	B	_______________________________		_________		____________
Crew	B	_______________________________		_________		____________
Alternate	B	_______________________________		_________		____________
COACHES and PARENTS: A total of _____ coaches and _____ parents will accompany the team.
ENTRY FEES Due Dec 11 -$25 per team – LATE ENTRIES WILL NOT BE ACCEPTED.					$_______________
LUNCHES - $6.00 per person – Must pre-order by Dec 7! LUNCH FEE DUE # 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