SCR 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

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

If a member please have your SCR # next to name

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.

Congratulations and Thank You for your Application!
Please click one of the options to pay and complete your SCR Membership.

Comments

Pay Membership Fee & Shop

SCR APPLICATION

Star Crest Skydiving Awards Official Application for Certification

List Skydivers on Jump in order of position

If a member please have your SCR # next to name

Congratulations and Thank You for your Application! Please click one of the options to pay and complete your SCR Membership.

or use

Star Crest Skydiving Awards
Official Application for Certification

Congratulations and Thank You for your Application!
Please click one of the options to pay and complete your SCR Membership.