RBOD

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 name / Joint owners names*
Owners name or Joint owned boats Owners names listed here please, this will be published in the results. Helms name and crew names required later in this form
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
Address Town 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*
Hull Colour
Helms name*
First Last
Helms name here please
Crew names, please add to help results team populate the crew boxes*
First Name Last Name Crew Age under 18 only please

Please click the add button to list additional crew
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 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
Photography*
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 images, please email info@burnhamweek.com
Participant's Signature*
Sailing days*
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
Bank transfer or Payment on line*
Preferred payment on line banking, please make your payment to : Sort code 23-05-80 Account Number 25790316 Burnham Week Ltd. Metro Bank Please make the payment reference Name and Class
Name
This field is for validation purposes and should be left unchanged.

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Owner name / Joint owners names

Sail Number

Yacht Name

Sailing days

Chris Corrigan & Tom Corrigan

RB8

Phalarope

8 Day Regatta|150

Fleet Name: Royal Burnham One Design
Class Flag: Flag V

The Royal Burnham One Design (RBOD) was designed for the Royal Burnham by Norman Dallimore in 1932
Start Lines: Pile House and Burnham Sailing Club.

First Name		Last Name	Crew Age under 18 only please

Name	Telephone number

Personal Details

Club & Crew

Emergency Contact

Booking