Medical Questionnaire
and Voyage Crew Details

Bookings are subject your completion of this medical questionnaire. Should we have any concerns or questions about your ability to undertake the voyage you have chosen we will contact you. The owner and operators of the Soren Larsen reserve the right refuse your booking on the basis of the above information but would stress that such instances are quite rare and would follow a discussion with you about the issues.

If you are 70 YEARS OR OVER, it is a requirement that you get your Doctor to countersign this form confirming your fitness to participate in this voyage.

This form will submit to the Auckland office of the Soren Larsen:

P.O.Box 60-660, Titirangi
Auckland 0642. New Zealand

Email Office
Ph. + 64 9 817 8799
Fax + 649 817 6799