Cruiser Class 5

Cruiser Classes 5 Entry Form local handicap

Entries 2020 Please note there is a save and continue later button at the end of the form. Please click on the save and continue later button to complete or change the form at a later stage or have a copy. If you use the save and continue later button the form will be emailed to you with a unique reference to allow you to log back into the web site to make changes. Full refunds will be given on event cancellation.
Personal Details
Owners names
Owners or Joint owners name here please
Age Group*
Please select your age group from the dropdown
Email
Enter Email Confirm Email

Your primary email address for correspondence and notices
Phone
Your main contact number
Address
Street Address Address Line 2 City County Post Code
How did you hear about Burnham Week*
Club & Crew
Yacht Club Name
Please enter the name of the yacht club that you belong to or are representing
Sail Number*
Please enter the sail number
Yacht Name
Cruiser Classes*
Cruiser Class 1,2,5 and 6 Classes and race entries will be confirmed
Yacht Handicap*
Enter your IRC detail........ Or enter your PY yacht handicap. Or Wednesday evening handicap
Yacht make and type*
Full details please
Hull Colour
Crew names
First Name Last Name Crew Age under 18 only please
Emergency Contact
Emergency contact list
Name Telephone number

Shore Phone contact whilst you are racing (Emergency Notifications)
Booking
Sailing Days
Price: £ 0.00
Select your sailing days. 8 day regatta £150.00. Bank Holiday weekend £75.00
Select Days
- 8 Day Regatta
- Bank Holiday weekend
- BH weekend and Trophy Day
- Tuesday 1st
- Wednesday 2nd
- Thursday 3rd
- Friday 4th
- Trophy Day Saturday 5th
Town Cup and Commodores cup entries see separate entry form.
Total due
£ 0.00
Declaration

I agree to be bound by the Racing Rules of Sailing and by all other rules and instructions that govern this event In particular, I confirm that I have read the Notice of Race and accept its provisions and agree that my boat will conform to the requirements set out in the Notice of Race throughout the event . I confirm that I have valid third-party insurance of not less than £3,000,000
Data Protection*
The information you provide in this form will be used solely for dealing with you as a participant in Burnham Week.

Burnham Week Limited has a Data Privacy Policy which can be found at www.burnhamweek.com. Your data will be stored and used in accordance with this Policy.

Burnham Weel Limited may wish to obtain your views about Burnham Week and/or to promote future Burnham Week regattas.
- I consent
- I do not Consent
Data Protection*

Burnham Week Limited may arrange for photographs or videos to be taken of you and any crew to be taken of Burnham Week activities and published on our website or social media channels to promote Burnham Week.
- I consent
- I do not consent
If at any time you wish to withdraw your consent for any of the above, please email info@burnhamweek.com.
Participant's Signature
Payments
On line banking payments may be made to; Sort code 23-05-80 Account Number 25790316 Burnham Week Ltd Metro Bank Please make the payment reference Name and Class
Payment Type*
Please select one of the following from the drop down
Comments
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Fleet Name: Cruiser Class Five – Local Handicap, Cruisers With Spinnakers
Class Flag: Numeral Pennant 5
Start Lines: Pile House and Burnham Sailing Club.

First Name	Last Name	Crew Age under 18 only please

Name	Telephone number

Cruiser Classes 5 Entry Form local handicap

Personal Details

Club & Crew

Emergency Contact

Booking