| Voyage/Charter | | | |
| | Reference | | | | |
| From date | 2010, usually from 18:30 onwards | | | |
| | | | | |
| To date | 2010, usually until approx 17:00 | | | |
| | | | | |
| Personal | | | | |
| Name1 | | MF | Age | | Date of Birth | |
Address
TelephoneMobile |
| |
Nationality
Passport No.
Foreign tripsOccupation Email (required) |
|
| Sailing experience |
|
| Other (if applicable) | | | |
| Name2 | | MF | Age | | Date of Birth | |
| Telephone2 Mobile2 | | |
Nationality
Passport No.
Foreign trips
|
|
| Sailing experience2 | |
If there are more than 2 in a group, please complete this form more than once as necessary
|
| Additional requirements |
|
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| Wet weather gear - £5 for day, £10 for w'end, £20 for week
Small Medium Large Xlarge | Notes, comments and requests
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Special dietary requirements
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| Shore Contact Details (important) | | | |
| Name | | | Telephone | |
| Relationship | | | Address |
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| Declaration | | | |
| Sailing can be physically demanding under certain conditions and it is your duty to ensure that you are fit and well to the best of your knowledge. If in any doubt, don't hesitate to contact your doctor. Most ailments will not prevent you from taking part, but we should know in advance. |
Details of any medical treatment being received
(if none, please write none)I declare that, to the best of my knowledge, I am not suffering from epilepsy, disability, giddy spells, asthma, diabetes, angina or other heart condition other than those described above, and that I am fit to participate in the trip. I confirm that the information given above is correct and hereby certify that I have read the terms & conditions sent to me with my booking confirmation. No agreement shall exist until Solent Sail is in receipt of this booking form and all amounts due.
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| Signed Date |
