Individual Day Sail Booking Form
First Name*
Last Name*
Email*
Preferred Name (nick name)
Gender*
Female Male
Date of Birth *
Address 1*
Address 2
Town/City*
County/Region
Postcode/Zip*
Country
Home Phone*
Work Phone
Mobile Phone
Vessel to sail on (1)*
Voyage Number (1)*
Start date (1)*
Voyage Fee (1)*
Booking Fee £10.00*
Other Comments
Any other comments?
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 with you?*
Next of Kin telephone number*
Next of Kin relationship to voyage crew*
Your Doctor's or surgery name and telephone number.*
Please answer all these health questions.
Do you suffer from asthma, vertigo, motion sickness or epilepsy?*
Yes No
Do you have high cholestrol or use anticouagulants?*
Yes No
Do you suffer from diabeties?*
Yes No
Are you on any regular medication?*
Yes No
Have you had any serious illness or accident in the last 5 years?*
Yes No
Do you have high blood pressure or any heart problems?*
Yes No
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*
For emergency purposes can you climb a 6ft (2m) vertical ladder?*
Yes No
Entering your Full Name will signify your acceptance of our Terms and Conditions. *
All information is confidential to Classic Sailing and the vessel being sailed on.
* Indicates field is required.