BOOKING FORM
Admiral 1
First Name
Last Name
Course
DOB
Captain 2
First Name
Last Name
Course
DOB
First Mate 3
First Name
Last Name
Course
DOB
Deck Hand 4
First Name
Last Name
Course
DOB
Email
example@example.com
Mobile / Whatsapp
-
Country Code
-
Area Code
Phone Number
Start Date
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Return Date
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Swimming ability
Can Swim 50 mtrs
Cannot swim 50 mtres
1
1
2
2
3
4
3
5
6
4
7
8
Medical info
Solaris needs to be informed of any serious medical conditions
Special Requirements
Dietary, allergies etc
Signature
B
y signing this form you agree to our terms and conditions ( see attached)
Signature
Submit
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