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 8 Days @£190, Bank Holiday weekend £90. Bank Holiday and Trophy Day £120. Day Rate £30.00
Total due
£ 0.00
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
I have paid by*
Please select from the drop down how you are making payment
Name
This field is for validation purposes and should be left unchanged.

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Owners Name / Joint Owners Names

Sail Number

Yacht Name

Sailing Days

NICK WOOD

GBR 601M

ORIGAMI

Nigel Stevens

GBR651M

Triassic

Simon Barnes

GBR 28167

Persuasion

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