Booking Form for Lord Nelson and Tenacious.
Your First Name*
Your Last Name*
Your Email address*
Preferred Name (nick name)
Gender*
Date of Birth*
Address 1*
Address 2
Town/City*
County/Region
Postcode/Zip*
Country
Home Phone*
Work Phone
Mobile Phone
You can book up to three voyages for only one booking fee. Vessel to sail on (1)*
Voyage Number (1)*
Start date (1)*
Voyage Fee (1)*
Booking fees for the first of your voyages on this booking application.
Voyage 2 Vessel to sail on (2)
Voyage Number (2)
Start date (2)
Voyage Fee (2)
Voyage 3 Vessel to sail on (3)
Voyage Number (3)
Start date (3)
Voyage Fee (3)
Please give emergency contact details. All information is confidential and not used for any other purpose. Name of Next of Kin who will not be sailing.*
Next of Kin Full Address with Postcode.*
Please provide at least one Next of Kin telephone number. Next of Kin Mobile Number
Next of Kin Work Phone
Next of Kin Home telephone number
Next of Kin relationship to voyage crew*
Your Dr's or surgery name and telephone number.*
Please answer all these health questions for the voyage crew. Suffer from asthma, vertigo or motion sickness?*
Do you have epilepsy?*
Have high cholestrol or use anticouagulants?*
Do you have increased risk of infections or have you had radio or chemotherapy in the past 2 years?*
Suffer from diabetes?*
If you have diabetes do you need injections?*
Are you long or short sighted?*
Do you use a wheel chair?*
Do you have a bad or weak back?*
Are you dyslexic?*
Do you have any learning difficulties?*
Do you have a hyperthyroid or over active thyroid?*
Any serious illness or accident in the last 5 years?*
Have high blood pressure or any heart problems?*
If you answered Yes to any question please give details here.
Please give details of any dietary requirements or enter None*
Please give details of any allergies or enter None*
Passport information. A passport is required for most voyages.*
Passport No
Nationality
Town of Birth
If you are sailing with someone in particular please give their name?
If practical would you like to be on watch with this person?
Have you worked with, or have experience with disabled people*
Have you sailed on Lord Nelson or Tenacious before?*
Only answer this question if you have sailed before on Lord Neslon or Tenacious. What role did you sail in?
Are you a qualified doctor?*
If yes are you applying to sail as a voyage doctor?
Please give details of nautical qualifications?
Have you been recommended as a watch leader?*
Are you applying to sail as a watch leader?
Are you applying for Youth Leadership@Sea ?*
Other Comments Any other comments?
In accordance with the principles of sailing on Lord Nelson and Tenacious all able-bodied voyage crew may be asked to assist/buddy a disabled person. For advice call 01872 580022 I would like the following person to be my buddy.
I would be happy to Buddy:*
Entering your Full Name will signify your acceptance of Classic Sailing's and Lord Nelson - Tenacious's Terms and Conditions. Entering your Full Name will signify your acceptance of Classic Sailing's and Lord Nelson - Tenacious's Terms and Conditions.*
All information is confidential to Classic Sailing, the ship and company you are sailing with. No Money is required until we have approved your booking application. There are no hidden charges.
* Indicates field is required.
