Participant Declaration and Contact Information

Please note: You cannot submit this form until 3 months before departure! Please visit the link later if your departure is on a later date!

Please specify your departure date! *

Day

Month

Year

Region *

Ship *

Departure Date

Departure date / Cruise Embarkation date onboard Ocean Albatros - Antarctica *

Please select your departure date!

Departure date / Cruise Embarkation date onboard Ocean Victory - Antarctica *

Please select your departure date!

Departure date / Cruise Embarkation date onboard Ocean Albatros - Arctic *

Please select your departure date!

Personal Information

Touroperator/Travel Agency *

Last name as it appears in passport *

First name as it appears in passport *

Email address *

Mobile Country Code *

Mobile Phone Number *

Gender *

Date of birth (DD/MM/YYYY) *

Day

Month

Year

Nationality *

Passport number *

Passport issue date (DD/MM/YYYY) *

Day

Month

Year

Expiration date (DD/MM/YYYY) *

Day

Month

Year

Medical Information

Travel Insurance Company Name *

Insurance policy number *

Dietary restrictions and allergies *

Mobility restrictions *

Medical Information *

Please declare your prescribed vital medications (Medication name, doses, etc.)

Remarks and Illnesses, Disabilities or Infirmities *

Please declare your existing medical information! (Pre-existing injuries, conditions, etc.)

Traveler's Health Statement *

Yes

I attest that I am in good general health, and capable of performing normal activities on this expedition. I further attest that I am capable of caring for myself during the expedition, and that I will not impede the progress of the expedition or the enjoyment of others aboard. I understand that this expedition will take me far from the nearest medical facility and that all travelers must be self‐sufficient. With that understanding, I certify that I have not been recently treated for, nor am I aware of, any condition, physical nor psychological, or disability that would create a hazard to myself or other members of the expedition. I also attest that I have adequate travel insurance to cover including medical evacuation, travel interruptions, denied boarding and repatriation.

Traveler's Agreement to Comply with Safety & Health Protocols *

Yes

I attest that I will comply with the Safety & Health Protocols onboard the vessel and understand that not complying may lead to denied boarding, and that a positive test may lead to quarantine onboard.

Flight Information

We kindly request that you provide us with the flight information for your return journey after the voyage has ended.

Flight Number *

Departure Date *

Day

Month

Year

Departure Time *

Hour

Minute

Rental Information

Boot Size *

For both our Arctic and Antarctic voyages, we offer sturdy, high-quality boots free of charge throughout the duration of your trip. These boots will be yours to wear during landings and hikes for the entire voyage. Boots are available in sizes EU35 to EU47.

Parka Size *

You will receive your complimentary Expedition Parka when boarding the Ocean Victory or Ocean Albatros.  Your gear is available for collection onboard and you are welcome to take it home with you after the voyage. We offer parkas in sizes XS-4XL for men and women. You are also welcome to use your own gear, in this case, please indicate that below.

Terms & Conditions *

I hereby confirm that I have read and accepted Albatros Expeditions' General Terms & Conditions: https://albatros-expeditions.com/terms-conditions

Yes

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Participant Declaration and Contact Information

Please complete the information exactly as it appears in your passport – please fill out one per person.

Facts about Participant Declaration and Contact Information

Memberships

Awards

Participant Declaration and Contact Information

Please complete the information exactly as it appears in your passport – please fill out one per person.

Facts about Participant Declaration and Contact Information

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