Class Nine

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

Owner or Joint owner names

Please enter Owner or Joint Owner names above

Age Group

Please select your age group from the dropdown

Date of Birth

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

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

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)

Confirmation

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

Phone

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

Class Nine Entry Form

Personal Details

Club & Crew

Emergency Contact

Confirmation