Skipper’s Name
Address
City
State
Zip
Country
Phone
E-Mail
Fax
In Case of Emergency
Boat Requested
Select Boat
Ragtime
Serenity
Tea For Two
Betelgeuse II
Dates Requested
Have you bareboated before? Yes
Charter Company
Sailing Area
When
Position
Type/Size
How long have you been sailing? Years
Do you currently own a boat? Yes
Size/Type
SAILING EXPERIENCE
Please list the various sizes/types of boats on which you have had significant sailing experience: Size/Type, # Days a Year, Sailing Area, When, Skipper or Crew
Please describe any offshore or long-distance sailing experience:
Please list any sailing courses you have successfully completed: School, Course, When, Days on Water, Sailing area
On a scale of 1 to 10 (10 being the highest) please rate your skills: Piloting/Navigation (Dead Reckoning) Rules of the Road Plotting Courses VHF Radio GPS Auto-Pilot Familiarity with Diesel engines, generators, battery systems Sail handling Safety at Sea systems Man Overboard Distress calls Heaving to MSD (toilet) systems
Please indicate the number of times you have done the following: Anchored a boat over 30' in length Set double bow anchors Set bow and stern anchors Picked up a mooring Reefed Docked alongside Docked stern-to (Med mooring)
Briefly describe First Mate's experience:
Do you feel confident that they could return the vessel safely if you were unable to skipper due to illness or injury?
How often have you spent the night at anchor?
What is the average distance you cruise per day during a trip?
If your boat handling skills are a little rusty, a captain may be
