ENTRY FORM

Bill Lockyer Christmas Regatta

December 7, 2014

Instructions: Complete one form per event entered.

Please complete an entry summary as well if you are entering multiple events for your organization. Entries and fees must be received by November 28th to be considered on time. Entries received after this deadline will be space available and assessed a late fee of $10.00 per entry.

Event No.______

Event Name.______

Average Boat Age (masters)______

check box Junior ___ Open___ Masters ___ Lt Wt___ Novice___ Adaptive ___

Men’s___ Women’s ____Mixed___ 8+__4+__4X__2-__2X__1X__

Club affiliation______

Boat name/color______

Rower name for listing on schedule______

Name / Age / Name / Age
Crew List: / 8 / 4
7 / 3
6 / 2
5 / 1

Cox:______Alternates______

Entry contact person: ______

Address______

Phone#______

Fax#______

E-mail: ______

8+ $96___ 4+,4X $64____ 2-,2X $48____ 1X $34_____

Checks payable to: LBRA Mail to: Christmas Regatta PO Box 3879 Long Beach, CA. 90803 or email

www.longbeachrowing.org for Schedule

Revised 10-27-14