Your Name (required)

Your Email (required)

Address(required)

City (required)

State (required)

Zip (required)

Daytime Phone

Nationality (required)

Birth Date (required)
/ /

Passport(required)

Crew Position(required)

Licenses Held(required)

Total offshore miles / Overall total (required)

SAILING EXPERIENCE:
Date Yacht Type Position Mile From To

Special Skills/Qualifications

Medical Exceptions

Swimming Skills

Delivery destinations preferred

Are you willing to pay travel expenses from any of the above?

Are you prone to seasickness?

Are you color blind?

Do you take any medication?

Do you suffer from any disability?

Are you a good helmsman?

Can you swim 100m fully clothed?

Can you navigate coastal/offshore?

Are you familiar with electronics/engines?

How much notice do you need?

PLEASE PROVIDE SAILING REFERENCES
(Names and phone numbers please)
(required)

I DECLARE THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS CORRECT AND THAT I HAVE READ AND UNDERSTOOD ALL INFORMATION PROVIDED.
(required)

CREW JOINING INFORMATION

Please type in your name and date:

Full Name(required)

Today's Date(required)
/ /

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