CREW DETAILS

First Name

Last Name

Date of Birth

Phone/Mobile

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

On or before 1st June

Single handed

Non-SCYC Member – single handed £115

SCYC Member – single handed £85

Coached Regatta Fleet - £65

double handed

Non-SCYC Member – double handed £130

SCYC Member – double handed £100

Due to the new race format, please note the ability for Helm to race two boats will be dependent on race scheduling.

For further information please e-mail stacey@scyc.co.uk

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

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 Dinghy 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

Signature-under 18

Sign Here

Date of Signature Under 18

DECLARATION - UNDER 18

To be signed by parent / guardian if helm under 18

The helm is my dependant and I confirm that he / she and his / her crew are competent to take part in the Event. I confirm that I am responsible for my dependant and his / her crew throughout the Event.

I confirm that the information given in this entry form is correct.
I agree to the Abersoch Dinghy Week "Notice of Race" Conditions of Entry and have read the SCYC Health and Safety Policies and Procedures (Summary) below.
I confirm that, during the time that my dependant (and crew) is / are afloat, I and / or one or more of the named emergency contacts will personally be in Abersoch.

Enquiries to stacey@scyc.co.uk

The Abersoch Dinghy Week Team