ATLANTIC CROSSING

Name and lastname:*

Address:*

Citizenship:*

Education:*

Term for which you are applying:

20.11.2024.*

Note:

Hight:*

Weight:*

Size number:*

Sailing licence (if YES - please explain):*

Experience in navigation ( if YES - please explain):*

Recommandation (not mandotary):*

How did you find about us?*

Arriving to course by:*

Allergies to any known medications :

YES
NO*

Food allergies:

YES
NO*

Heart condition :

YES
NO*

Epilepsy:

YES
NO*

Diabetes:

YES
NO*

Other illnesses:

YES
NO*

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