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All Voyages 2023 / 2024
Blue Clipper Traineeship 2, BC010623
Application Form BC010623
Full Name
*
(as it appears on your passport)
First
Last
Gender
*
Female
Male
Date of Birth
*
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Place of Birth
*
Town and country
Contact Number
*
Email Address
*
Passport Details
If you are travelling on a voyage outside of the UK or you are travelling on a UK voyage and not a UK resident, please provide your passport information below.
Passport Number
*
Passport Issue Date
*
(DD-MM-YYYY)
Passport Expiry Date
*
(DD-MM-YYYY)
Nationality
*
Emergency Contact Details
Please provide contact details of somebody not travelling with you who can be contacted in case of an emergency. If you are under 18 this must be a parent or guardian.
Full Name
*
First
Last
Contact Number
*
Relationship to you:
*
Health and Medical Information
It is your responsibility to make known any medical conditions that may affect you during the activities associated with the voyage you will be taking part in. Please provide as many details as possible. This information will be kept confidential and shared only by the head office staff with senior officers on board the vessel.
For practical safety purposes, can you climb a 6ft or 2m ladder?
*
YES
No
If you answered NO, please contact us at info@maybe-sailing.com for booking approval.
Have you ever suffered from any of the following conditions:
Asthma/bronchitis
Heart Conditions
Fits/fainting/blackouts
Severe headaches
Diabetes
Travel Sickness
Joint Problems
Allergies to Medication
Other illness/disabilities
Please provide details of any medical conditions you have and any medication you are currently taking.
Dietary Requirements
Please let us know of any dietary requirements of food allergies you may have:
Declaration
Please tick the boxes to agree to the following:
*
I agree to the booking I agree to the booking
terms and conditions
.
I accept that water sports are hazardous by nature and I declare I am phsycially fit to take part in sailing activities.
I confirm that I will comly with all safety regulations as requested by the crew of Maybe Sailing.
I give permission for any emergency treatment to be administered by qualified crew member during my voyage.
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*
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All Voyages 2023 / 2024
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Maybe
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Before You Sail
Follow Our Ships
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ALL VOYAGES
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UK & Scotland
Youth Voyages
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