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.
* Required
Contact Info:
Last Name
*
Your answer
First Name
*
Your answer
Email
*
Your answer
Phone Number
*
No formatting please! For example: 19204121234
Your answer
Trip
*
Select your voyage
Choose
March 2021: Pineapple Express | Ensenada to Hawaii
April 2021: Palmyra Explorer II | Hawaii to Kiritimati
May 2021: Tahiti? Why Not! | Kiritimati to Tahiti
June 2021: Hopping Hemispheres | Tahiti to Kiritimati
June 2021: Pacific Voyager II | Kiritimati to Hawaii
July 2021: North Pacific Gyre | Hawaii to Victoria
August 2021: Puget Sound | Victoria to Seattle
August 2021: San Juan Islands | Seattle to Vancouver
September 2021: Gate to Gate | Vancouver to San Francisco
October 2021: California Coast | San Francisco to Ensenada
PASSPORT INFO:
Full Name as written on Passport
*
(first, middle, given/last name/surname)
Your answer
Date of Birth
*
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Your answer
Nationality
*
Your answer
Passport Number
*
Your answer
Date of Issue
*
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Your answer
Date of Expiry
*
Format: dd-Mmm-yyyy For Example: 22-Jan-1985
Your answer
EMERGENCY CONTACT INFO:
Emergency Contact/Next of Kin
Name
Your answer
Emergency Contact Relationship
Your answer
Emergency Contact Home Phone Number
No formatting please! For example: 19204121234
Your answer
Emergency Contact Mobile Phone Number
No formatting please! For example: 19204121234
Your answer
Emergency Contact Email Address
Your answer
TRAVEL DETAILS (If you know them already)
Arrival Date, Time, and Flight Number
Your answer
Departure Date, Time, and Flight Number
Your answer
Please check if you require visas for departure and/or arrival ports
No, I don't need one
Yes, I need a visa
Clear selection
PRACTICAL INFORMATION:
Food Allergies
Your answer
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.
Your answer
Can you Swim?
*
Yes
No
PROFILE
This information will be provided to the crew
How did you find out about Pangaea Exploration / this expedition?
Your answer
Maritime training/experience (if any)
Your answer
Background and area of expertise
Your answer
Goals and aims for the expedition
Your answer
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