2017 Norths / Peak Dinghy Winter Championship

Northampton SC
Saturday 11th & Sunday 12th November

*Helm's Name

Address

Postcode

Your Email

Membership no.

Telephone no.

Mobile no.

Crew's Name

Crew's Email Address

Crew's mobile no.

Sail Number

Dinghy's name

Entry fee: £45
Notes: Ages on this form refer to age at the date of the first race of the event. The helm must be a paid-up member of the Enterprise Association.
I am a member of club.

I am a paid up member of the Enterprise Association. I agree to be bound by the conditions set out in the Notice of Race, in particular the risk statement, that I have read and understood (on Enterprise Association website). I certify that the boat is insured for a minimum of £3,000,000 third party liability cover.
Signed: Date:

Please tick all appropriate prize categories below:

Lady Helm 
Helm under 21 
Crew under 16 

I would like to make payment via  Cheque BACs Transfer
Either send cheque to:-
Carol Ford, 56 Hurstville Drive, Waterlooville, Hants PO7 7NE
Please make cheques payable to 'The Enterprise Association' and write 'Helm's name' and 'Winters' on the back.
OR
Bank Credit Transfer:-
Sort Code 20-79-25
Account No 00341274
Bank Barclays Hamble
Please put 'Helm's name' and 'Winters' in reference field.

Please note: Clicking on the submit button will automatically email your completed form to the Championships Administrator.