Tel/fax: 01793 812303 Mobile: 07974 711962
Email: info@cardiffsailing.co.uk
Sailing trips from Cardiff
We need a few details for each person who is coming on board Lady Amalia. Please ensure that each member of your group completes and signs a copy of this form. Details for children 16 and under may be included in their parent/guardian’s form.
Charter/trip dates: ...................................................................................................
Full name: .................................................................................................................
Address: ...................................................................................................................
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Postcode: .............................................................
Email address: ........................................................................................................
Telephone numbers: Daytime: ...............................................................
Evening:.................................... Mobile: ..................................................................
Details of previous sailing experience: .................................................................
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Date of birth: ........................................................
Details of any relevant health issues or special requirements: ....................................................................................................................................
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The health issues are important, especially details of asthma, angina, heart conditions, epilepsy and diabetes. These conditions will not necessarily prevent anyone from coming on a trip, we just need to know. All health details will be in the strictest confidence.
Details of person(s) to be contacted in an emergency: ......................................
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I have read the Terms & Conditions and fully understand and agree to them. I accept that I must have my own insurance if I require cover for personal injury, illness, loss or damage to personal belongings, and cancellation for any reason, as Amalia Charters Ltd cannot be held liable for these.
Signed: ................................................................... Date:......................................