Bookings Open Sept 2017

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)
Please tick this box if you are unwilling for your child's image (video or photograph) to be used by the Venturers Norfolk Broads Cruise for promotional or internal reporting purposes:  
Parent's Certificate
 
I certify that my   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 
 
NameDate