Cookham Regatta 2019

Cookham Regatta 2019

Race Entry Update
Race entered *

Dragon boats Canoe-Cats Cookham Challenge Club Challenge
Crew Name
This must be identical with the original entry
Club / Organisation (if applicable):
Contact Details
Name (First Contact)

First Name Last Name

Address

Address Line 1
Address Line 2
City	County
Postcode	Country

Mobile

-
Landline

-
Email
example@example.com
Name (Second Contact)

First Name Last Name

Address

Address Line 1
Address Line 2
City	County
Postcode	Country

Mobile

-
Landline

-
Email
example@example.com
Crew Details
NOTE: Entry date is taken from first receipt of the form including payment of Race Entry Fee, however full Crew details may be added later Up until the 1st September.

Final substitutions subject to the entry rules may be accepted on the day subject to organizer’s discretion.
Name Crew 1 (Captain)

First Name Last Name
Age if under 18
Other events entered
Name Crew 2

First Name Last Name
Age if under 18
Other events entered
Name Crew 3

First Name Last Name
Age if under 18
Other events entered
Name Crew 4

First Name Last Name
Age if under 18
Other events entered
Name Crew 5

First Name Last Name
Age if under 18
Other events entered
Name Crew 6

First Name Last Name
Age if under 18
Other events entered
Name Crew 7

First Name Last Name
Age if under 18
Other events entered
Name Crew 8

First Name Last Name
Age if under 18
Other events entered
Name Crew 9

First Name Last Name
Age if under 18
Other events entered
Name Crew 10

First Name Last Name
Age if under 18
Other events entered
Name Crew 11

First Name Last Name
Age if under 18
Other events entered
Name Crew 12

First Name Last Name
Age if under 18
Other events entered
Name Crew 13

First Name Last Name
Age if under 18
Other events entered
Name Crew 14

First Name Last Name
Age if under 18
Other events entered
Name Crew 15

First Name Last Name
Age if under 18
Other events entered
Name Crew 16

First Name Last Name
Age if under 18
Other events entered
Start time for the regatta will be promptly at 10.00am If your team has a good reason for avoiding the heats before 11.00am then please show your earliest available time
Reason
Agreement & Authority
As first contact listed above please tick here to affirm that you have read the Cookham Regatta Rules and Regulations. *

By submitting this form all my crew and I agree to abide by the Cookham Regatta Rules and Regulations. In particular we agree that the race organisers shall not be liable for any loss, damage, death or personal injury howsoever caused as a result of taking part in this event. I confirm that all my crew and I are competent swimmers and I have their authority to enter them into this event and commit them to the above agreement. I also confirm that I have the written authority of a parent, guardian or responsible person for all crew members under the age of 18 years.
Should be Empty:

Cookham Regatta 2019

Contact Details

Crew Details

Agreement & Authority