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 Info:
Last Name *
First Name *
Email *
Phone Number *
No formatting please! For example: 19204121234
Trip *
Select your voyage
PASSPORT INFO:
Full Name as written on Passport *
(first, middle, given/last name/surname)
Date of Birth *
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Nationality *
Passport Number *
Date of Issue *
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Date of Expiry *
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
EMERGENCY CONTACT INFO:
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
TRAVEL DETAILS (If you know them already)
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
PRACTICAL INFORMATION:
Food Allergies
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.
Can you Swim? *
PROFILE
This information will be provided to the crew
How did you find out about Pangaea Exploration / this expedition?
Maritime training/experience (if any)
Background and area of expertise
Goals and aims for the expedition
Submit
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