Crouch YC Squib Trophy- Squibs. 3rd & 4th June
£15 entry fee to bank details: sort 20-19-95 account 63697487
-PAYMENT TO BE MADE ON ENTRY. Alternatively please call the office to pay.

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Name of Helm: *
Boat Name *
Sail Number *
Helm DOB: *
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DD
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Helm Emergency Contact and Number *
Helm Mobile Number: *
Helm Email Address: *
Crew Name 1: *
Crew 1 DOB: *
MM
/
DD
/
YYYY
Crew 1 Emergency Contact Name and phone *
Under 18 declaration
If you are under 18 please ask your parent or designated to agree and sign the below: There is also a copy of further detail on our website.
Parents or designated responsible person for all competitors under 18 must be present at the RCYC, whilst competitors are afloat. Under law, this competitor is my dependent.
I accept the Disclaimer of Liability below, which explains my dependent’s legal position at this event.
I confirm that my dependent is competent to take part.  
I consent to my dependent participating in drug testing procedures and, if asked, providing a urine sample under observation for analysis at an accredited laboratory.
During the event (tick one box): I will be responsible for my dependent throughout the event, and during the time my dependent is afloat I will be available at the event venue.
I appoint the person named below, who has agreed to act in loco parentis.  
He/she will be responsible for my dependent throughout the event.  
During the time my dependent is afloat he/she will be available at the event venue.
I agree to the above under 18 declaration (please write your name or appointed person's name on the day below)
Data Protection: The information you provide in this form will be used solely for dealing with you as a participant in the Crouch YC Squib Trophy. The Royal Corinthian Yacht Club Limited has a Data Privacy Policy which can be found at www.royalcorinthian.co.uk. Your data will be stored and used in accordance with this Policy. The Royal Corinthian may wish to contact you to obtain views about the Crouch YC Squib Trophy. *
Photography or Videos: The Royal Corinthian Yacht Club Limited may arrange for photographs or videos to be taken of activities and published on our website or social media channels. *
Medical: Do you have an medical conditions that you think we should be aware of? If so please contact the office for a medical form.
Clear selection
I agree to be bound by the Racing Rules of Sailing and by all other rules and instructions that govern this event. 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 agree to abide by the rules listed in said NOR  and SI's. My boat shall be insured with valid third-party liability insurance with a minimum cover of 3 million UK pounds per incident or the equivalent (clicking yes, will be taken as your signature) *
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