Boat Entry Form 2012

BOAT ENTRY FORM Annual Boat Gathering, Northampton Friday 4th – Monday 7th May 2012 Personal Details (Block Capitals)

Boat details

First Name .……………………………….

Boat Type (Private/Trade/Charity)

Surname

.….……………………………

…………………………………………………

Address

………………………………..

Name of craft ………………………………….

………………………………..

Length ...………….

..……………………………… ………………………………..

Home mooring …………….…………………..

Licence (please circle) BW

Post Code

…………………..

Phone

.…………………………………

Email

………………………………….

Number of people attending gathering: Adults ……….

Children

………..

Beam …………………

EA

Gold

Visitor

An Environment Agency licence dispensation for the River Nene upstream of Northampton Lock applies for boats attending the Gathering from 4th – 7th May 2012 with only a BW licence Please note Moorings at the Boat Gathering (between South Bridge and Nuns Mill Bridge) are not controlled by the Organisers.

However, we ask that you leave spaces free for boats with disabled crew where these are marked. Boats should be prepared to moor alongside each other (breast up).

Special requests or other information If any of your crew has severe difficulty in disembarking or walking, please indicate their requirements.

Special requests will be met as far as practicable but cannot be guaranteed, see note above. ……………………………………………………………………………………………………………… ………………………………………………………………………………………………………………

Auction If you think you may wish to enter lots into the auction being held during the gathering please tick box

Raffle If you feel able to donate a prize or prizes for the raffles being held during the gathering please tick box.

PLEASE READ CONDITIONS OF ENTRY 1. All entries made on this form are correct at the time of entry and will be honoured at the Gathering. Any changes should be notified to the Organisers as soon as possible.

2. The entry covers the boat named - no refunds can be made.

3. A plaque, where required, can be purchased by all entered craft stopping at the Gathering for over 24 hours.

4. A current licence covering the relevant waterway must be displayed, except that boats with a BW licence may attend without an Environment Agency licence. This applies only upstream of Northampton Lock. All byelaws of the navigation authority must be complied with, including compliance with the Boat Safety Scheme.

5. Third party insurance cover must be held to a minimum of £1,000,000 for the period of the Gathering.

6. Details of all activities will be sent to entrants when available.

7. You must not leave litter or cause pollution of the waterway. In particular, toilets must not be discharged into the waterway and pet excrement must not be left on the towpath or island site.

8. All Organisers’ conditions must be complied with.

9. The Organisers cannot be held responsible for any damage to persons or property however caused, other than that for which they are legally liable as a result of their negligence.

10. The Organisers reserve the right to refuse any entry without giving any reason.

11. Information on this form may, in whole or part, be recorded under your name in accordance with current legislation.

Any data recorded under your name may be inspected on application to the Organisers.

12. Events at the Gathering and on the Lock Island are only open to boaters and their guests.

13. Adults are responsible for their children and pets at all times and in all places. Dogs must be kept under control whilst visiting the Lock Island.

Entry (Tick as appropriate) Entry fee - Private boat

£15.00

Entry fee - Private boat - if booking before 31 Mar 2012

£13.00

Plaque

£5.50each

Fish & Chip Supper (per person) includes Quiz Entry (Sunday before Quiz) Chicken & Chip Supper (per person) includes Quiz Entry (Sunday before Quiz) Vegetarian Option (per person) includes Quiz Entry (Sunday before Quiz)

£6.00 x ………….. £6.00 x ………….. £6.00 x …………...

Cheque enclosed (made payable to “IWA Northampton Branch”) for £…………

In making this entry, I agree to abide by the conditions above.

Signed………………………………………………….

Date……………….

Please send completed entry form to: Eric Young, 1 Ashton Road, Roade, Northants, NN7 2LF (If you require an acknowledgement please send S.A.E. or your e-mail address and we will send programme details and confirmation of receipt asap) (Queries or additional forms 07973 739833 or eric.young@waterways.org.uk) This event is organised by IWA Northampton Branch (“The Organisers”) The Inland Waterways Association is a non-profit distributing company limited by guarantee. Registered in England No: 612245. Registered as a charity No: 212342 Registered Office: Island House, Moor Road, Chesham, HP5 1WA. Tel: 01494 783453. Website: www.waterways.org.uk