Crew application

name

Address 

Phone #

Age/date of birth

Nationality

E-mail address ***REQUIRED FOR REPLY***

male   Female Married   Single

Please list any sailing experience if any.

Please list other relevant skills i.e.: medical, mechanical, electrical, cooking, diving .etc.

Hobbies & Sports: swimming, diving, running, photography, basket weaving

Physical and Medical condition (s) that we should know about - anything that could result in your needing immediate medical help / attention. Including any prescription medicines you take on a regular basis.
Are you in good physical condition.

Anything else you would like to add.

By filling out and submitting this application you indicate that you have read the "read this" section of the web sight. You agree to the terms and conditions in that portion and will sign and return the crew agreement if accepted / invited to the crew of "ANGELIQUE" along with any deposit that may be required to hold your place on board.