Multihull

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*

Single or Joint Owners names here please
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*
Street Address Address Line 2 City 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*
Fleet*
Yacht Handicap*

Enter your Mocra handicap here
Multihull make and type*

Full details please
Hull Colour*
Helm Name*
First Last
Helms name here please
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 Limited may wish to contact you 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
Sailing Days
Price:
Select Days*
- Bank Holiday Weekend
- Trophy Saturday
- Bank Holiday weekend and Trophy Saturday
Late fees shall apply after August 1st 2021
Total
£ 0.00
Payment Information

Click 'Pay' to be redirected to Paypal to complete your payment securely.
No Paypal account required. Select 'Pay by Debit or Credit Card' to pay by Debit or Credit Card.
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 Days

GBR820M

NRB

Julian Linton

GBR809M

Grey Goose

Ken Whyte / David Vinten / Tom Huish

GBR 601M

ORIGAMI

NICK WOOD

GBR651M

Triassic

Nigel Stevens

GBR 28167

Persuasion

Simon Barnes

Class 0 boats must have an LOA between 7.2 and 12.2 metres and rate between 1.130 and 1.600.
Entries may be accepted from boats outside these parameters at the discretion of the Race Committee.
Class 0 shall comply with ISAF Offshore Special Regulations Appendix B and with the following Category 4 regulations:
3.14 Lifelines, 3.24 Navigation Lights, 3.29 Marine band radio and 4.23 Mo Mu Flares, (4 red parachutes, 4 red handheld, 2 orange smoke).

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

Name	Telephone number

Personal Details

Club & Crew

Emergency Contact

Booking

Payment Information