Sailing Form – Tour Passenger

PERSONAL DETAILS

Applicant’s Name

Age

Email address

Phone number

Cover Requested
 Basic Racing Open water Other

ITINERARY DETAILS

Travel Dates
from: to:

Name of tour operator

Name of tour

Please provide details of sailing itinerary including maximum distance from shore

SAILING EXPERIENCE

Will you be a crew member or passenger only?

What activities do you intend to perform onboard?

Please detail your sailing / boating experience and qualifications

RACE / REGATTA DETAILS

If participating in an organised event please provide:

Name of event

Event duration / dates

Please provide details of the race / regatta schedule including whether you will be sailing / racing at night

INSURANCE HISTORY

Have you had any accidents, claims / or losses in connection with any vessel you have owned, sailed or had under your control in the past 5 years?
 Yes No

If yes, please provide details

Have you ever been refused insurance?
 Yes No

If yes, please provide details

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