Crewmember’s Questionnaire for SY Gedania voyage

(only for participants with confirmation)

tlo-form
1 of 2 (0%)
Indicates required field
Please download the attachment before completing the application. Once printed, sign and hand over to the organizer before boarding.
IMPORTANT: 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.
Rejs nr: /
Termin: -
Trasa:
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: gedania@pogoria.pl or by telephone: +48 58 710 89 00

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