Class Nine

Class Nine Entry Form 2021

New to racing and Burnham Week join Class 9

1 Personal Details

2 Club & Crew

3 Booking

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
Owner / Joint owner names*
Please enter Owner / Joint Owner names above
Age Group
Please select your age group from the dropdown
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?*

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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 Class Nine*
Yact Handicap*
Enter your yacht handicap. Follow the link to take you to the RYA website for NHC boat handicap listings, find your boat on the base list to obtain the handicap. www.rya.org.uk
Yacht 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
Select Saturday and Sunday racing*
Entry fee £60.00
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 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
Data Protection*
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
- i do not consent
If at any time you wish to withdraw your consent to use your images, please email info@burnhamweek.com
Participant's Signature
Payment
Our on line payment is via bank transfer or Paypal 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 made via*
Please select the payment method used
Name
This field is for validation purposes and should be left unchanged.

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First Name	Last Name	Crew Age under 18 only please

Name	Telephone number

Class Nine Entry Form 2021

Personal Details

Club & Crew

Emergency Contact

Booking