1. Full Name:
2. Martial Status:	Single Married Divorced Widowed
3. E-mail Address:
4. Where did you learn about us?
5. Sea Sickness/Alergies?
6. Sail Experience As. Where/When?
7. Sailing Courses. Specify/Where/When?
8. Navigation Courses. Specify/Where/When?
9. Crewing Experience. Best/Worst and Why?
10. Why do you want to sail specifically on Oceanis II.?
11. Sail for the whole voyage?	Yes No
12. Your Share per Day $10?	Yes No
13. City/Country of Birth:
14. City/Country present location:
15. Nationality:
16. Passport Expiration Date: (yyyy/mm/dd.)
17. Health Condition:
18. Birth Date: (yyyy/mm/dd)
19. Height: (m/ft)
20. Weight: (Kg/Lb)
21. Faith:
22. Language(s) Spoken:
23. Diet Restrictions:
24. Your profession:
25. Hobbies:
26. Sport Activities:
27. Computer Proficiency:	None Beginner Intermediate Experienced Programmer
28. Sailing Level:	None Beginner Intermediate Experienced Veteran/Professional
29. Food Habit:	None Omnivore Vegetarian Quasi-Vegetarian Vegan
30. Preferred Crew Position:	Deckhand Cook First Mate Can Be All
31. Video Production:	None Camera Editor Sound Can Be All
32. Partnership with us?	No Active Passive Need Information
33. Swimming Abilities?	None Marginal Good Excellent
34. Scuba Diving Experience?	None Open Ocean Advanced Instructor
35. First Aid?	Yes No
36. CPR?	Yes No
37. If lacking qualifications, please specify what you intend to do about them.
38. Questions or Comments?

*Before submitting this form, please answer ALL 37 questions

Please note:
(1) Océanis is an ecology conscious vessel with zero tolerance for tobaco, drugs and alcohol.
(2) There is no insurance nor liability for personal property and
For anyone joining the voyage while on board and on land.
(3) A recent medical checkup (complete physical) is required
Signed by a practicing medical doctor of your choice.
(4) Your Participation is on a "Share Expenses" basis
US$10 per day per person on full participation.
(5) Short term crew no longer considered.