PYC Event Registration Form

Main Contact Details

Name*

Email Address*

Phone

Are you a PYC Member?

yes

Chosen Event

Please select the Event you would like to enter

Black Jack Dash 15th August 2026

Boat Type

Please enter your boat name & type

Number of Adults

Number of Children

No Boat? - Passenger(s) only

Number of Adults

Number of Children

T-Shirts - one per person

Men's S

Men's M

Men's L

Men's XL

Men's XXL

Women's S

Women's M

Women's L

Women's XL

Women's XXL

Children's XS

Children's S

Children's M

Children's L

Children's XL

Insurance

Are you fully insured?

Yes

Additional Information

Message

Please note any special requirements you may have or questions you would like answering

Please attach any files required here

Maximum size 10MB. PDF, DOC, TXT, JPEG, TIFF only please

Terms and Conditions*

I have read and accept the PYC Terms and Conditions

I consent to my submitted data being stored in accordance
with the Privacy Policy

Disclaimer*

I have read and agree to the disclaimer terms set out on this site Privacy Policy

PYC Event Registration Form