Phantom

Fleet Name: Phantom

Class Flag: Flag G

Start Lines: Pile House.

Dinghy Entry Form

Entries 2019 Please note there is a save and continue later button at the end of the form. Please click on the save and continue later to complete the form at a later stage or have a copy.
Personal Details
Owners Name
Joint owned boats enter your names here
Single Owners name
First Last
Please enter your full name above
Age Group
Please select your age group from the dropdown. Under 18 please move to the next section to complete Date of Birth
Date of Birth
Date Format: DD slash MM slash YYYY

Please select your DOB on the calender that pops up.
Email

Your primary email address for correspondence and notices
Phone
Your main contact number
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
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
Dinghy Name
Fleet*
Dinghy Handicap*
Enter your dinghy handicap here listings on www.rya.org.uk
Dinghy make and type
Full details please, Radial, 4.7 etc.
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 Days:
- Bank Holiday Weekend
- John Torrance Trophy
- Trophy Saturday
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 Week Limited may wish to contact you to obtain views about Brurnham 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 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*
Payment
Our on line payment is via Pay Pal or bank transfer. 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
Total
£ 0.00
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

First Name	Last Name	Crew Age under 18 only please

Name	Telephone number

Dinghy Entry Form

Personal Details

Club & Crew

Emergency Contact

Booking