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First name
*
Last name
*
Email
*
Phone
*
City
*
Age
*
What stage of therapy are you at at the moment?
*
before therapy
currently in therapy
after therapy, end of therapy is less than 3 months ago
after therapy, end of therapy is more than 3 months ago
no therapy planned
How restricted are you at the moment?
very restricted
a bit restricted
not restricted
Sailing experience
none
sailed a few times
ocean sailor
Sailing trip(s)
Italy (1) – Tuscan Spring: Sailing around Elba
Italy (2) – Tuscan Spring: Sailing around Elba
Italy (3) – Tuscan Spring: Sailing around Elba
Baltic Sea (1) – Around Langeland or island hopping in the Danish South Sea
Baltic Sea (4) – Around Langeland or island hopping in the Danish South Sea
Ostsee (3) – Rund Langeland oder Inselhopping in der dänischen Südsee
Baltic Sea (5) – From Wendtorf to Copenhagen
Istria (1)
Baltic Sea (6) – From Copenhagen to Wendtorf
Istria (2)
Greece (3) – The Islands of the Aegean
Greece (4) – The Islands of the Aegean
Greece (1) – The Islands of the Aegean
Croatia (2) – Late Summer Sailing in the Adriatic
Croatia (1) – Late Summer Sailing in the Adriatic
Baltic Sea (3) – Around Langeland or island hopping in the Danish South Sea
Possible travel period (also several)
Please briefly describe your current situation, your motivation and your expectations of the sailing trip.
*
How did you hear about reSAILience e.V.?
I hereby give my express consent to the processing of my health data contained in the form by reSAILience e.V. for the purpose of (1) enabling my participation in the sailing trip and (2) ensuring a safe sailing trip. I am aware that this consent is completely voluntary. The declaration of consent can be revoked at any time, with effect from the time of revocation. The revocation of consent can be initiated at the following address: via E-Mail at info@resailience.org or via mail to reSAILience e.V., Dreimühlenstraße 30, 80469 Munich, Germany. Further information on the processing of personal data can be found in our
privacy policy
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