(Application Form--Please highlight and select the application below, then copy it to your word processor to print.
Hopefully, I'll learn how to make this be a downloadable page soon! Nancy)
WOMEN’S STAR CREST AWARD
Application for Certification
Please print legibly and fill out completely. If this form is incomplete, it may delay your award.
CITY: ___________________________________________________STATE: ___________ ZIP: ___________________
PHONE: ( ) __________________________ E-MAIL: __________________________________________________
WE, the undersigned, attest that at (place) ___________________________________________________
on (date)___________________the above named skydiver participated in a ______-Way Star
consisting of at least 8 women skydivers, entering in position # _________, and thereby qualifies for the
WSCR or NWSCR (circle one) Award. The Star was held for a period of _________seconds on her (or his)
jump #_________. Note: Men must have entered 9th or later on an 8-Woman Star.
Witnesses on the skydive—Minimum of 8 women signatures required.
(Please include your WSCR # if you
already have one.)
1. _________________________________________________________WSCR # __________
2. _________________________________________________________ WSCR # __________3. _________________________________________________________WSCR # __________
4. _________________________________________________________WSCR # __________
5. _________________________________________________________ WSCR # _________
6. _________________________________________________________WSCR # __________
7. _________________________________________________________WSCR # __________
8. __________________________________________________________WSCR # __________
I have met the requirements to earn
the WSCR / NWSCR (circle one) award, and do hereby certify the above
information is true and accurate.
Signed: _____________________________________________________ Date ___________________
this form to: WSCR Awards, 307 Beauregard Heights, Hampton, VA 23669.
a check or money order for $25 made out to WSCR Awards. You will receive an award card, a
certificate of achievement, and embroidered emblem, and two decals.
Additional items to order: WSCR / NWSCR embroidered patches--$8.00 ea. WSCR decals—3 for $5.00
Note: The fees cover costs for printing, record
maintenance and award items. “WSCR Awards” is a
recorded with the IRS and Commonwealth of Virginia.