Online Application Form
Surname
First Name
Date of birth
Telephone Number
Home address
Post code
E-mail address
If this is your first Venturers Cruise, who introduced you ?
Do you have any special dietary needs, or any ongoing Health condition that we should be aware of? Please state:
To help us with berth allocation and buoyancy aids, please tell us your -
Height (cms)
Weight (kgs)
Parent s Certificate
Parent's Certificate
son
daughter* can swim 50 metres and I am willing for him / her to join the Venturers Norfolk Broads Cruise. I understand that he / she will be expected to comply with the safety rules and do a fair share of the work on the boat.
During the Cruise week I can be contacted at this telephone number
Name
Date
