Abersoch Mirror Week

ABERSOCH MIRROR WEEK

Sunday 11th to Friday 16th August 2024

ENTRY FORM

(To be completed by the parent or guardian if the helm is under 18)

Boat Name

Sailing Club

Rig

Sail Number

Hull

HELM DETAILS

First Name

Last Name

Email Address

Date of Birth If Under 18

Phone/Mobile

Address

Address Line 1

Address Line 2

Town

Postcode

Are You An SCYC Member?

Yes

HELM EMERGENCY CONTACTS

First Name

Last Name

Phone/Mobile

Relationship To The Helm

First Name

Last Name

Phone/Mobile

Relationship To The Helm

CREW DETAILS

First Name

Last Name

First Name

Last Name

Date of Birth

CREW EMERGENCY CONTACTS

First Name

Last Name

Phone/Mobile

Relationship To The Crew

First Name

Last Name

Phone/Mobile

Relationship To The Crew

MEDICAL INFORMATION

You are required to advise at registration of any medical conditions or medication, knowledge of which might be vital in the event of rescue; for example, asthma or diabetes.

Medical Information Here Please

ENTRY FEE

Entry Fee

Non-SCYC Member – £70

SCYC Member – £50

South Caernarvonshire Yacht Club “The Club”

Your privacy is important to us. We will handle any data we collect in line with current data protection legislation. Our full Data Privacy Statement can be found on our website at www.scyc.co.uk

Future contact
The Club would like to contact you by email in the future to give details of sailing events that may be of interest to you. Please confirm that you give consent to be contacted for this purpose.

Future Contact Consent

	Check The Box To Consent
I Consent To Future Contact

Photographs

The Club may arrange for photographs to be taken during the sailing event and published on our website and other media channels to promote the Club. Please confirm that you give consent to your image and, if you are the parent or guardian of any child under 18 included in this entry, their image being used in this way.

Photography Consent

	Check The Box To Consent
I Consent To Photographs Being Taken

If you are completing this entry form on behalf of any other adult over 18, they should indicate their consent to the use of their image separately below

First Name

Last Name

First Name

Last Name

3rd Party Photography Consent

	Check The Box To Consent
3rd Party Consents To Photographs Being Taken

Sign Below

Signature

Sign Here

Date of Signature

Signature

Sign Here

DECLARATION

To be signed by helm if aged over 18

I confirm that the information given in this entry form is correct.

I agree to the Abersoch Mirror Week "Notice of Race" Conditions of Entry and have read the SCYC Health and Safety Policies and Procedures (Summary) below.

Link to the SCYC Health and Safety Policies and Procedures PDF https://scyc.co.uk/wp-content/uploads/2022/02/SCYC-H-S-Summary.pdf

Enquiries to stacey@scyc.co.uk

The Abersoch Mirror Week Team