Cookham Regatta 2019

Cookham Fun Regatta 2021

Race Entry Update
Use this form only to make changes to the details given on your original entry form
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
Mobile
Landline
Email
example@example.com
Name (Second Contact)

First Name Last Name
Address

Address Line 1

Address Line 2

City County

Postcode
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
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 2

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 3

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 4

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 5

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 6

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 7

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 8

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 9

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 10

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 11

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 12

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 13

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 14

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 15

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
Age if under 18
Other events entered
Name Crew 16

First Name Last Name
Do you wish to add or remove this crew member?

Add Remove
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
You must tick the box below *

As first contact listed above I confirm that all my crew and I agree to abide by the Cookham Regatta Rules and Conditions. 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:

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Cookham Fun Regatta 2021

Contact Details

Crew Details

Agreement & Authority