Guest Information & Preference Form

CLC World Membership 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:

(*required for customs and immigration)

Sailing & Diving experienceMedical conditionsEmergency contactAdditional information

Sailing experience:

Diving experience:

Training agency:

Certificate Level:

Number of dives:

Do you have any food allergies, special dietary needs or strong dislikes of certain foods? Please specify:

Do you have any medical conditions? Please specify:

Contact Name:

Relationship to you:

Daytime phone:

After hours phone:

Are you celebrating any special events whilst on board? Please specify:

Additional remarks or special requests:

Name:

Email:

Date of Birth: (You can type the date into the field)

Passport Number: