Registration form

First name

Last name

Email address

Phone

Date of birth

Address

Postal code

City

Membership in scouting organizations

Other organization

Have you participated in a voyage on s/y Zawisza Czarny before

What sailing qualifications and certificates do you have

Żj Jsm Kj SRC LRC STCW

Other, specify

I agree to the processing of personal data

I consent to the use of my image

Registration for cruise: Rejs Szkoleniowy