CR23 Entry Form - Royal Burnham Yacht Club

"*" indicates required fields

ONLINE ENTRY FORM - PLEASE NOTE A SEPARATE FORM WILL BE REQUIRED FOR EACH ENTRANT

About the competitor, parents and boats. Please complete and submit this form, using the button at the foot of the form. Items marked with an asterix must be answered.

Entrant's Name*

First Last

I wish to enter this entrant in the following category:*

Your Address:

First Line of Address Town or City PostCode

Your Email Address:*

Your Phone Number:

Entrant's Date of Birth*

Name of Parental Contact during the Regatta:*

Contact Number during the Regatta:*

Loco Parentis (if applicable)

Name of the individual standing in loco parentis

Contact Number during the Regatta:

Does the Entrant have any medical conditions or food allergies? If not, please enter "NO" in the field below

It is the responsibility of the parent/guardian signing the declaration to make known any disability/medical condition or food allergies that may affect your child during the activity, and any medication that they may require. This information will be shared with those responsible for supervising the activity.

Is this the Entrant's first RBYC Cadet Event?*

Parents and guardians are advised that they have sole responsibility for their children/wards during the week and must appreciate that the RBYC cannot be expected to exercise supervision or control

In what role is the Entrant comfortable?*

Sailing Experience?

Other Sailing Clubs?

Loaned Boats

Boats will be provided for the Regatta, but if you own a boat and would be happy to use it, please let us know by completing this section. Please note that children will all be sharing the boats, and most are beginner sailors. Any damage sustained during the Regatta would be your responsibility.

Boat Name &/or Sail Number:

Adult Helpers

Adult helpers are essential for the event to run smoothly. Please complete the section below to let us know which days you are available to help

Helper's Name:

First Last

Phone No:

Helper's Email Address:

Help Available for:

On Which Days?

DECLARATIONS and CONSENTS

Boat Insurance*

I confirm the following::

I hereby certify that any boat loaned to the organisers for this regatta carries third party insurance cover, with a sum insured of at least £3,000,000, and a current measurement certificate (if appropriate) including buoyancy test, and complies with class rules.

Name of Policyholder:*

Parent Declaration*

I have read and acknlowedge the declaration below

I acknowledge that the organising authority (RBYC) is only able to provide reasonable safety facilities during sailing. In the event of adverse weather conditions, parents or guardians alone must decide whether the child entrant can cope on the water and has adequate safety equipment. I acknowledge that I have sole responsibility for my children/wards during the week and must appreciate that the RBYC cannot be expected to exercise supervision or control. The organising authority accepts no responsibility for any damage suffered by persons or property on or off the water. In an emergency situation I authorise the organisers to take my child to hospital and give my full permission for any treatment required to be carried out in accordance with the hospital’s diagnosis. I understand that I shall be notified, as soon as possible, of the hospital visit and any treatment given by the hospital. Consent for use of images: I grant to the organisers without payment the right in perpetuity to make, use and show any motion pictures, still pictures and live, taped or filmed television of or relating to the event. I agree to notify the organisation of any relevant changes in my child’s circumstances. I confirm that my child is not under a court order.

Please "sign" this declaration by entering your name here:

Parent / Guardian

Use of Data:*

I agree

I disagree

Your contact details may be used by the RBYC to get in touch regarding future events.

Use of Images:*

I agree

I disagree

Images of the Sailor and his or her boat may be used by the RBYC for publicity and training purposes

Entry Fee Payable:

PAYMENT SWITCHED OFF FOR TEST

Payment is required at the time of entry via credit or debit card. Please complete your card details before you submit the form.