Annabel J Booking Form.
Please check the Schedule for voyages and ascertain availability prior to completing and sending this form. (*Required fields)
Cruise ref. * Date from * Date to * Price *
£
Name * Sex
Address 1 *
Address 2
City * Postcode *
Daytime phone * Evening phone Mobile
Email *
Sailing Qualifications and experience (if any)
DOB * Gardian or Parent’s name if under 18
Next of kin ashore contact details
Name * Telephone *
Special dietary requirements or allergies. Please be specific.
Please let us know where you heard of us: Eg web search, Magazine ad, word of mouth etc..
Medical Section
Have you had any recent serious illnesses or operations
Do you have any medical conditions, are you pregnant or are on any medication which may be affected by conditions at sea? (Seasickness can affect your medication)
Do you suffer from: Diabetes, asthma, heart condition, restricted mobility, epilepsy, coordination problems, learning disability or any physical disability
Agility – Would you have any difficulty in heavy seas or climbing into or out of a small dinghy or up a 2m ladder?
If you have answered yes to any of the above, please supply details below, or call 07766 138288. We cannot accept any guests who are pregnant, have epilepsy or are carriers of a communicable disease.
Payment Section If you would like to pay by bank transfer, please contact us for bank details
Full Amount if less than 30 days prior to voyage Deposit if more than 30 days prior to voyage = 30% of full amount
* £
If paying by cheque payment should be sent to: Annabel J, 28 Birdwood Grove, Fareham, PO16 8AF.
Declaration: To be initialed by the applicant or parent/guardian if under 18
I have declared any medical condition or treatment that may be affected by conditions at sea.
I travel insurance which includes sailing for the appropriate area.
I have read and agree to the terms and conditions of the charter.
Initials *
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Voyage notes explaining what to bring and how to find us can be down-loaded or contact us to be e-mailed a copy.

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