Guest crew information formPlease complete one for each member of your group Where does this voyage start from? * Dates of Trip * Name * First Name Last Name Would you like a Provident T-shirt to wear on the boat? (Cost £25.00) We can have yours ready for you when you arrive. small medium Large x-large xx-Large Date of birth * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country telephone * Email * Gender * Any specific dietary requirements? * Please says if you have specific allergies Your height and weight * Please give in Cm and Kg Next of kin * Someone who will not be sailing with you Next of kin email * Next of kin phone number * Next of kin address * Would you have difficulty climbing a 2 m vertical ladder? * Please tell us if you are not sure and we can think about what support you might need. Health conditions and additional needs * You must tell us about any health conditions you have so we know how best to support you. These will be kept confidential at all times. Please phone us on 07549 935222 if you want to discuss it further. (See terms and conditions section on the website): Where did you hear about us? I confirm that I have read the terms and conditions (see website) * yes, i agree to the terms and condtions I would like to receive emails and correspondence from Provident Sailing in the future? yes please no thank you Please let us know if you are happy to have images of you appear on our social media posts, website or marketing materials. I don't mind Please don't use pictures of me We have received your guest crew form. Please complete one for each member of your party. www.providentsailing.co.uk/crew-information
