Medical form

1. Your full name

2. Name of Lead Customer (if part of group booking)

3. Voyage

5. Date of birth:

6. Day (1 - 31)

7. Month (1-12)

8. Year

1. Contact name

2. Contact telephone number

3. Contact email address

4. Contact's relationship to you

Voyages with VentureSail should be a pleasure, however the sea is a natural and unpredictable environment. We regret that there are some conditions that, even if ‘under control’ on dry land, can become critical at sea and threaten the safety of the individual or the vessel. If you answer “Yes” to any questions in Section 1 we may, regrettably, not be able to accept your booking on certain vessels. Whilst we want our holidays to be open for everyone, we do need guests to meet certain mobility and access requirements.Please do discuss with the team if you have any questions or concerns.

1. Would you have any difficulty climbing a steep 2m ladder OR getting in or out of a dinghy or small boat on a daily basis while at sea? This is a vital part of our sailing requirements to ensure guest safety and your holiday experience.—Please choose an option—YesNo

2. Are you diabetic? —Please choose an option—YesNo

3. What type of diabetes do you have?—Please choose an option—Type 1Type 2

4. Do you inject insulin?—Please choose an option—YesNo

5. Have you ever had hypoglycaemia (“a hypo”) —Please choose an option—YesNo

These are other conditions that must be disclosed to us at the time of booking. For certain vessels and voyages accepting your booking may be at the discretion of the owner or skipper of the vessel. In relation to any condition additional information may be required from your doctor.

1. Do you have any dietary needs (optional).

2. Do you suffer from asthma, or have any difficulty breathing?—Please choose an option—YesNo

3. Please tell us how this is controlled.

Please tell us about any medication you are taking now, or expect to be taking at the time of your voyage. Please note we may need to request additional information from your doctor.

1. Are you taking any regular medication?—Please choose an option—YesNo

2. Please list the medication and dosage

3. You must bring all medication with you including extras in case of delay or loss, as well clear written instructions on dosages and how the medication should be taken. Your skipper must be make aware of all medication brought on board, whether ‘prescription’ or otherwise.

We are committed to being a COVID secure operator. Each vessel will have risk assessments and policies in place to minimise the risk of the transmission of infectious diseases aboard, including but not limited to COVID-19. However, the risk cannot be eliminated entirely.

By sailing with us you understand and agree to

1. the risk of contracting an infectious disease during your voyage

2. participating in additional health screening procedures, prior to joining the vessel that may result in you being unable to board.

3. abide by all infection control measures in place on board the vessel

Failure to comply with these measures may result in you be unable to join the voyage.

1. I understand and agree with the Infection Control DeclarationYes

We need information about your health and medical conditions, some of which may be personal, for important safety reasons. Information will not be shared with any other organisations except the owners or managers of the vessel on which you will be sailing. All health and medical information given to VentureSail will be used in strict confidence, will be stored securely, and will be destroyed within 3 years of the end of your voyage.

I confirm that the information given is accurate and complete, and I understand that:

1. Some medical conditions may make a sailing holiday inadvisable and that my booking may be refused.

2. VentureSail must be made aware immediately, and prior to joining the vessel, of any changes to my medical conditions.

3. The skipper or owner of the vessel has the right to refuse to accept me on the voyage if not fully satisfied about any matters regarding health or safety.

4. If I fail to disclose any information I am fully liable for any cost and expense that falls due, in relation to but not limited to; being put ashore, transferred to another vessel, associated travel costs, delays to the voyage schedule, or repatriation.

1. Name

2. Date

3. I confirm that all details are correct