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Ocean
Discovery Charter Booking form 2009
(Print out and send to Ocean Discovery at
address below)
Bareboat or Skippered Charter? ..............................................................................
Period of Charter applied for:..................................................................................
Main Contact Details:
Surname: ........................................................................................................
First Names: ........................................................................................................
Date of Birth: .........................................................................................................
Address: .........................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
..............................................................................................................................................
Tel Home: .................................. Work: .................................. Mob: ................................
email: .................................................................................................................................
Occupation: .......................................................................................................................
Does
any of the crew have any medical conditions or
allergies?
Yes / No
(if 'yes' please detail on a separate sheet)
Emergency Contact point: Name: ..........................................................................
Address: ...........................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
.............................................................................................................................................
Tel
Home:.................................. Work:.....................................
Mob: ...................................
Experience of the crew:
| Name | Qualification | Experience |
| 1) Skipper:
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| 2) Mate:
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| 3)
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| 4)
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| 5)
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| 6)
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| 7)
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| 8)
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Declaration I
have read the terms and conditions and understand that I must have
adequate travel and medical insurance. I
enclose my deposit (without which my booking will not be valid).
I am confident in
the water, I am physically fit to take part in the activity and I am
willing to comply with all safety regulations.
Signed
______________________________________
Date
______________________________________
Please return your completed form and deposit to: Ocean Discovery, Dol Heulog, 26 Whinacres, Conwy, North Wales, LL32 8ET
email:
info@oceandiscovery.net
Telephone No: (01492) 573788