Booking form

Booking form

Personal data
Surname*
First name*
Formal given name(s)
Nationality*
Town of birth*
Date of birth*
Sex*
- Man
- Woman
Passport
Passport number*
Expiration date*
Country of issue*
Address data
Address*
Postal code*
City*
Country*
Telephone number*
Email*
Contact at home, in case of emergency
Name*
Relationship*
Telephone number(s)*
I would like to book the following voyage on the 'Oosterschelde'
Date and place of embarkation*
Date and place of disembarkation*
Voyage fee*
Four or two person cabin*
I will travel together with
Medical details
Shipping company ‘Oosterschelde’ provides optimal safety for the entire (guest)crew. As guest-crewmember it is important that you will take responsibility regarding your own safety and the safety of others. If your physical or mental health is insufficient, you might be at risk during a sailing trip. In case of doubt whether your health hinders a voyage on a sailing and moving ship or not, we advise you to contact your physician first.
Do you have a medical condition, allergies, use medication and/or have a special diet of which the shipping company should be notified? For example: diabetes, heart or vascular disease, epilepsy or the usage of blood thinners.
If so, which?
Declarations *
Declarations*
- I declare to have travel insurance that covers this voyage.
- I declare to have cancellation insurance that covers this voyage.
- I declare to have valid health insurance provided in my home country.
- Yes, I have read the standard information form package travel.
- Yes, I have read the general conditions and agree.
- Yes, I do give permission as described in the privacy statement.
- I declare that I have read the above conditions and I agree. *
Newsletter *
Newsletter*
- Yes, I would like to keep updated about future trips and plans of the ‘Oosterschelde’ and ‘Helena’. I herewith subscribe for the e-mail newsletter (issued ca. 6x per year).
- No thank you