Neyland YC Dinghy Entry Form
This form must be completed before the start of the race/series.
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Series entered *
Required
Dinghy class
Sail number (write NYC if club boat)
Race division 
Clear selection
Helm or crew? 
Clear selection
Name *
Date of birth (if under 18)
MM
/
DD
/
YYYY
Email address
Phone number *
Address *
NYC membership number or Name of club (if not NYC) *
Relevant medical issues *
Off water emergency contact name and phone number *
Declaration - tick the boxes to confirm your agreement with each. *
Required
Series fee paid by cash or bank transfer (if other, please state)

Bank transfer payment details - Name: Neyland Yacht Club; Account Number: 13220060; Sort code: 20-37-82

*
Name of parent/carer if helm or crew is under 18
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