U.S. J/24 Pan Am Trials Entry Form

January 4-6, 2003

(Print this form and mail to address below)

I wish to enter my team in the U.S. Pan Am Trials. I agree to be bound by the Racing Rules of Sailing, the J/24 Class Rules, and by all the other rules that govern this event. I understand that I must check-in upon arrival for a confirmed entry in this event. I also understand that I and each member of my crew will be required to sign a RELEASE, WAIVER, AND RETENTION OF RIGHTS AGREEMENT at check-in.

All team members must be United States Citizens eligible to represent the U.S. in the Pan American Games.

Boat Name: _____________________________________ Sail Number: __________

Skipper: __________________________________________________________________

Address: __________________________________________________________________

E-Mail Address: _____________________________________

Home Phone: __________________________ Work Phone: ________________________

Crew 1: __________________________________________________________________

Address: __________________________________________________________________

E-Mail Address: _____________________________________

Home Phone: __________________________ Work Phone: ________________________

Crew 2 : __________________________________________________________________

Address: __________________________________________________________________

E-Mail Address: _____________________________________

Home Phone: __________________________ Work Phone: ________________________

Crew 3: __________________________________________________________________

Address: __________________________________________________________________

E-Mail Address: _____________________________________

Home Phone: __________________________ Work Phone: ________________________

- I am a current J/24 Class Association Regular Member: Y N (If no, you must join at check-in)

- Copy of valid Class Measurement certificate is enclosed. Y N

- Please include a check for $125 payable to U.S. J/24 Class Association. Mail to:

U.S. J/24 Class Association

7793 Burnet Rd. #15

Austin, TX 78757

Skipper’s Signature___________________________________________

Date____________________