SCR APPLICATION

Fill Out Application

Star Crest Skydiving Awards
Official Application for Certification

First name

Last name

Birthday

Street Address

Postal / Zip code

Region/State/Province

City

Phone

Date of Jump

We the undersigned attest that on

at

Time

Drop Zone

Street Address

City

Region/State/Province

Postal / Zip code

the above named skydiver did participate in a

Size of Formation

skydiving formation entering

Entering Position

for a period of

Duration

seconds on their jump number

# of jumps

and doses thereby

qualify for the membership applying for:

List Skydivers on Jump in order of position

Please have your SCR # next to name when applicable

Skydiver 1

Skydiver 3

Skydiver 5

Skydiver 7

Skydiver 9

Pilot

Skydiver 2

Skydiver 4

Skydiver 6

Skydiver 8

Skydiver 10

Witness

Each Star Crest Award is $30.00. New membership awards include: 1 Embroidered Emblem, 1 Decal, 1 Number Tag, 1 Certificate and 1 Member Card. Earning 2 or more awards on the same day receive a $5.00 off each additional award. Please call for foreign and overseas shipping fees.

All fees can be paid on our online store or PayPal: thebbmscstore@gmail.com

Comments

Congratulations and Thank You for your Application!
Please click the link below to complete your SCR Membership. https://www.starcrestawards.com/product-page/star-crest-membership
or
PayPal: thebbmscstore@gmail.com