Dragon

1Personal Details

2Club & Crew

3Booking

Entries 2021: 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 website to make changes.
Full refunds will be given on event cancellation.
Personal Details
Owners name / Joint owners names*

Owners name or Joint owned boats Owners names listed here please, this will be published in the results. Helms name and crew names required later in this form
Age Group*
Please select your age group from the dropdown
Email*
Your primary email address for correspondence and notices
Phone*
Your main contact number
Address*
Address Town County Post Code
How did you hear about Burnham Week*

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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*
Hull Colour*
Helms name*
First Last
For Joint owners please supply helms name
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)

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Booking
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 Week may wish to contact you to obtain views about Burnham Week and /or to promote future Burnham Week regattas,
- I consent
- I do not consent
Photography*
Burnham Week Limited may arrange for photographs or videos to be taken of Burnham Week activities and published on our website or social media channels to promote Burnham Week.
- I consent
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If at any time you wish to withdraw your consent to use images, please email info@burnhamweek.com
Participant's Signature*
Select a sailing day*
Late fees shall apply after August 1st 2021
Total
£ 0.00
Payment Information

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Phone
This field is for validation purposes and should be left unchanged.

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Sail Number

Yacht Name

Owners name / Joint owners names

Select a sailing day

GBR 617

FlameAgain

David Hall

8 Day Regatta|190

GBR746

Beauty and the Beast

Peter Marchant & Katie Cole

8 Day Regatta|150

GBR826

Dublin Bay

David Warner

Bank Holiday weekend + Trophy day|80

GBR722

AVALANCHE

MARK & Amanda Wade

8 Day Regatta|150

GBR760

Hands Off

Andy Moss

8 Day Regatta|150

GBR 827

Still Crazy

Ian Gray

8 Day Regatta|150

GBR825

Anarchy

Chip Cole

8 Day Regatta|150

GBR 792

Pageboy XI

Clive Page

8 Day Regatta|150

Fleet Name: International Dragon
Class: Flag D

The International Dragon is one of the most beautiful and prestigious keelboat classes in the world and with more than 1400 boats racing worldwide it is also one of the largest.

Start Lines: Pile House and Burnham Sailing Club.

First Name	Last Name	Crew Age (under 18 only please)

Name	Telephone number

Personal Details

Club & Crew

Emergency Contact

Booking

Payment Information