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Guest Information & Preference Form
CLC World Membership Number or Guest Reference Number*:
GUEST 1
Name*:
Email*:
Date of Birth*: (You can type the date into the field)
Passport Number*:
Address*:
Nationality*:
Arrival date & time*:
Flight No *:
Other arrival details:
(*required for customs and immigration) - This information will be used for this reservation only – for crew use. On completion of the week(s) this will be destroyed.
Dietary Requirements
Please tick the relevant boxes for any special dietary requirements:
Coeliac (Gluten Free)
Lactose intolerant
Vegan
Vegetarian
Other please specify:
Please tick the relevant boxes for any allergies:
Nuts
Eggs
Shellfish/Seafood
Severe anaphylactic reaction - please give details:
Dislikes - please identify any food (excluding the above) that you will not eat:
Drink Preferences
While we cannot guarantee to stock all drinks specified, we do our best to accommodate requests based on local sourcing. Please tick your preferred drinks:
Soft Drinks:
Cola
Cola light
Fizzy Orange/Lemonade
Coffee/Tea
Tonic water
Soda water
Fruit Juice
De-caff Coffee/Tea
Alcohol:
Beer
White wine
Red wine
Rose wine
Gin
Brandy
Vodka
Dark Rum
White Rum
Vodka
Whisky
Irish Cream Liqueur
Coffee Liqueur
Amaretto
Tequila
Martini Bianco/dry
Martini Rosso
Campari - bitter
Medical conditions
Do you have any medical conditions that the crew will need to be aware of ?
Yes
No
If yes, please give details:
Sailing & Diving experience
Do you have sailing experience?
Yes
No
Are you a certified diver?
Yes
No
Additional information
Are you celebrating any special events whilst on board? Please specify:
Additional remarks or special requests:
Emergency contact
Contact Name:
Relationship to you:
Mobile phone number:
Landline number:
GUEST 2
Remove Guest
Name:
Email:
Date of Birth: (You can type the date into the field)
Passport Number:
Address:
Nationality:
Arrival date & time:
Flight No:
Other arrival details:
Dietary Requirements
Please tick the relevant boxes for any special dietary requirements:
Coeliac (Gluten Free)
Lactose intolerant
Vegan
Vegetarian
Other please specify:
Please tick the relevant boxes for any allergies:
Nuts
Eggs
Shellfish/Seafood
Severe anaphylactic reaction - please give details:
Dislikes - please identify any food (excluding the above) that you will not eat:
Drink Preferences
While we cannot guarantee to stock all drinks specified, we do our best to accommodate requests based on local sourcing. Please tick your preferred drinks:
Soft