Sailing Trip Registration and Safety Information Form

First name

Last name

Date of birth (yyyy-mm-dd)

Place of birth

Gender (M, F)

Nationality

Nature of identity document

Type of visa or residence permit

Serial number of visa or residence permit

Transit (Stay on board Y / N)

Next of kin (name and phone number)

Allergies

Health-related information affecting safety (e.g. diabetes, epilepsy)