Booking Form for Explorers Cruise, 20-27 July, 2002

FIRST PRINT THIS FORM (2 A4 pages), THEN COMPLETE FULLY.

Please complete a separate form for each person

 Please complete your Personal Details

Name ________________________________________________________________

Address ______________________________________________________________

Tel (home ) ________________ (work) ________________ e-mail ________________

Date of birth (optional!) ________________________

Next of Kin: Name _________________________ Relationship ______________

Address ___________________________________________________________

Tel (home ) ______________________ (work) _____________________

Sailing Qualifications (if any) ____________________________________________

I confirm I am able to swim 50 yards fully clothed Yes / No

If possible I would like to sail with ______________________________________

Please note the following special dietary requirements __________________________

Please note the following medical condition(s) or disability(ies). Note that a medical condition or disability should not bar you from sailing, but it would be helpful to know of any relevant factors. If in doubt, talk to Henry Ruddock, 0114 249 0072

____________________________________________________________________

Please complete booking and financial details on next page

Please sign acceptance as detailed below

Signed ____________________________ Date _____________

If you are under 18 years of age a Parent or Guardian must sign below for consent.

Signed (Parent or Guardian) _______________________________________________

  

Please complete the Booking Details

Item

£

Berth Most berths are in shared cabins; some are in the saloon. Ultimate privacy cannot be assured! The cost includes all food taken on board (we may eat out but no more than twice) and mooring fees.

290

Bedding is available for hire at £10 for the week, but as we are starting from UK why not just bring a sleeping bag?

 

Wellies: I have a few pairs of wellies available (not all sizes) at £5 for the week, which are allocated first come first served UK Size __________

 

Oilskins: Again a few sets, first come first served, at £20 per week.

Size: S / M / L / XL / XXL

 

Donation to Martin Oates Memorial Fund. The MOMF is to assist the financially challenged. Donations most welcome. Applications for assistance to me in confidence.

 

Total payable

Deposit enclosed. The deposit must be at least £100. Cheques should be made out to 'J R H Ruddock - Explorers Account'

 

Balance to pay. The final balance must be paid no later than Saturday 8th June.

Early Payment Discount. Final payments received before Easter (Sunday 30th March) may deduct £15 early payment allowance

 

 

Henry Ruddock, Commodore, Explorers, 7 Herbert Road, Sheffield S7 1RL

You will receive an acknowledgement and receipt, usually within a week or so.

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