Approved/Declined
By ..
HORIZON YACHT CHARTERS LTD
PO BOX 1171, GRAND ANSE, St. GEORGE S, GRENADA
TEL: 473-***-**** FAX: 473-***-****/2
E-mail: ****@**************.***
SAILING EXPERIENCE RESUME
Please complete this sailing resume. It will advise us of your skippering ability and basic seamanship skills, so please ensure you
provide us with as much information as you can. Please DO NOT leave any questions blank.
Charter Dates (mm/dd/yy): from to Vessel
Flight Number, Airline & Time Date of Arrival
Name Date of Birth Nationality
Address City
State/County Zip Code Country
E-mail Occupation
Home Tel # Fax # Office Tel #
How many years as a cruising skipper (fully responsible for crew and vessel) yrs
On average, how many days a year do you sail?
Type of Boat Sailed Position Owned, Chartered or Other Location Dates
(if Other, please explain)
(make and length) (skipper or crew) (including charter company
name if applicable)
Have you done any of the following on a vessel over 30ft in the last 2 years (please tick appropriate):
Docked stern to
Anchored Dead Reckoned
MoB (under sail) 3 Point Fix
Estimated a Position Sailed in winds 25 Knots+
Sailed on to a Mooring Reefed a mainsail
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PLEASE LIST EACH PERSON IN YOUR PARTY (Please use separate sheet if necessary)
Name Contact Information Age Sailing Experience Proposed Position
(Email, Telephone or Address) (First Mate, Crew etc.)
Have you had any marine claims in the past 5 years? If so, please explain:
Are you competent to deal with basic mechanical tasks, such as checking oil and monitoring engine
performance and temperature? Yes/ No
ARE YOU COMPETENT & CONFIDENT TO SAIL THIS YACHT? Yes / No
I hereby declare that the information given above is true and accurate.
Signed by skipper Date (mm/dd/yy) ..
Please enclose photocopies of your sailing qualifications such as RYA, ASA or any other sailing
certificates you may have.
August 2012 2