Crewmember’s Questionnaire for SY Gedania voyage

(only for participants with confirmation)

1 of 3 (0%)
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To begin download the attachment, fill in, sign, scan and have it ready in form of JPG or PDF file. You will be asked to attach the file on page 4 of this form.
You must be at least 14 years old to send the form.
Underage persons (<18) are required to have a written permission from parents or legal guardians.
All the data you will provide on this page is send to a secure folder on an encrypted server without a third party access.

Rejs nr: /
Termin: -

If you are sailing for the first time, enter "0"

Emergency contact
An adult?

Parents / Legal guardians statement

I agree to participate in the cruise on the sailing ship SY GEDANIA my daughter / my son:

Parents / Legal guardians contact information

  • Address where the guardians might be reached during the voyage
  • Telephone under which the guardians might be reached during the voyage
  • Additional information regarding the participant (health, prescription drugs etc.)

This is the information only for the Office and the ship’s master – treated as confidential data!

In case of any doubts or questions, please contact the STAP Office from Mon to Fri from 1000 to 1600
via e-mail: or by telephone: +48-58-620-62-26.

I consent to my daughter/son participation in the voyage on SY Gedania.