Length: ______________                                                                               Race Date: October 27, 2007

                                                                                                                         Single Entry Fee:    $275.00

Boat #: ______________                                                                                Doubles Entry Fee: $300.00

  

The 2007 S.F. Bay Ski Race Entry Form

COMPLETE THIS FORM AND MAIL TO:

SF Bay Ski Race

1120 Donatello Way

Oakley, CA 94561

 

 

Mandatory VIBRATING Call Phone # _____________________________________________

Make of Boat ____________________  CF or AZ # ________________  Boat # ____________

Boat Name _____________________  Length ____________________   Color _____________

 

One form per team, please CIRCLE only one class to enter.  Complete all names and addresses.

Men’s Open                                                          Formula 2                                                               Senior Men 25-38

Women’s Open                                                    Masters 60 & over                                               Senior Women 25-38

Junior Boys & Girls                                             Intermediate Men 16-24                                      Veteran Men 38-59

Formula 1                                                               Intermediate Women 16-24                 Veteran Women 38-59

Double Up

 

Skier__________________________________________ Address ___________________________________

City __________________________________________  State _________________  Zip _________________

Work Phone ___________________________________   Home Phone ________________________________

Cell Phone ____________________________________   E-Mail _____________________________________

Fax Number ___________________________________   Date of Birth ___________ Age ________________

For Emergency use only: Health Insurance Information _____________________________________________

__________________________________________________________________________________________

 

2nd Skier_______________________________________  Address ___________________________________

City __________________________________________  State _________________  Zip _________________

Work Phone ___________________________________   Home Phone ________________________________

Cell Phone ____________________________________   E-Mail _____________________________________

Fax Number ___________________________________   Date of Birth ___________ Age ________________

For Emergency use only: Health Insurance Information _____________________________________________

__________________________________________________________________________________________

 

Driver ________________________________________  Address ___________________________________

City __________________________________________  State _________________  Zip _________________

Work Phone ___________________________________   Home Phone ________________________________

Cell Phone ____________________________________   E-Mail _____________________________________

Fax Number ___________________________________   Date of Birth ___________ Age ________________

For Emergency use only: Health Insurance Information _____________________________________________

__________________________________________________________________________________________

 

Observer ______________________________________  Address ___________________________________

City __________________________________________  State _________________  Zip _________________

Work Phone ___________________________________   Home Phone ________________________________

Cell Phone ____________________________________   E-Mail _____________________________________

Fax Number ___________________________________   Date of Birth ___________ Age ________________

For Emergency use only: Health Insurance Information _____________________________________________

__________________________________________________________________________________________

 

Navigator or Throttles (Circle One)

Name _________________________________________  Address ___________________________________

City __________________________________________  State _________________  Zip _________________

Work Phone ___________________________________   Home Phone ________________________________

Cell Phone ____________________________________   E-Mail _____________________________________

Fax Number ___________________________________   Date of Birth ___________ Age ________________

For Emergency use only: Health Insurance Information _____________________________________________

__________________________________________________________________________________________