CREW PROFILE FORM
Thank you for joining our team! As you will soon be boarding the Sea Dragon we need some information from you for a smooth voyage.
CONTACT DETAILS *
Address Line 1
Address Line 2
City
State/County
Trip *
Select your voyage
Zip/Post Code
Country
Email
Phone Number
No formatting please! For example: 19204121234
How did you find out about Pangaea Exploration / this expedition?
Please be as specific as possible
Passport Details
Full Name as written on passport (first, middle, given/last name/surname)
Passport Number
Nationality
Date of Birth
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Date of Issue
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Date of Expiry
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Sex
Clear selection
Emergency Contact/Next of Kin
Name
Emergency Contact Relationship
Emergency Contact Home Phone Number
No formatting please! For example: 19204121234
Emergency Contact Mobile Phone Number
No formatting please! For example: 19204121234
Emergency Contact Email Address
Arrival Date, Time, and Flight Number
Departure Date, Time, and Flight Number
Please check if you require visas for departure and/or arrival ports
Clear selection
(if yes) Approved visa number
Practical Information
Dietary requirements and food allergies
Maritime training/experience (if any)
Medical Conditions
Please remember offshore sailing can be a strenuous activity and you will be a long way (many days) from medical help. There is a separate comprehensive medical history form to fill out but please use this box to tell us if there is an ongoing health concern we should discuss beforehand. Thanks.
Can you swim? *
PUBLIC PROFILE
This information will be distributed to the team and posted on the Pangaea Exploration website
Background and area of expertise
Goals and aims for the expedition
SEND US A PICTURE OF YOU
As soon as you submit this form please send a head and shoulders photo of yourself to info@panexplore.com
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