Step 1 of 3 33% Applicant InformationName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Are you comfortable allowing Pride, Inc. to distribute your contact information to fellow guest crew members for the purpose of making travel arrangements, sharing photos, etc.?* Yes No Gender*Please selectFemaleMaleOtherDate of birth* MM DD YYYY Height*Weight*Guest Crew PassagesFirst choice passage:*Georgetown (MD) to Baltimore | October 17-19 | $385Baltimore to Chestertown | October 27-29 | $385Chestertown to Baltimore | October 31-November 2 | $385Second choice passage:*No Second ChoiceGeorgetown (MD) to Baltimore | October 17-19 | $385Baltimore to Chestertown | October 27-29 | $385Chestertown to Baltimore | October 31-November 2 | $385 COVID-19 Policy for Guest CrewGuest Crew must acknowledge reading this policy prior to joining Pride of Baltimore II (the “ship”). If you have any questions relating to this policy, please contact Erica Denner. Pride of Baltimore, Inc. (“Pride”) seeks to create the safest possible experience for guest crew passengers. While the ship serves a transportation function, it also serves as a home for the live-aboard crew. Crew members strictly adhere to COVID-19 protocols to reduce possible transmission of the virus on and around the ship. This includes numerous precautions taken by crew members prior to joining the ship at the start of the sailing season, increased shipboard sanitation, and a requirement that all on board the ship maintain a high standard of hygiene, not just for their own safety, but also for the safety of their shipmates. Pride recognizes that adherence to additional safety measures are necessary to keep the crew and guests of the ship safe in light of the ongoing COVID-19 public health emergency. To that end, for the 2021 sailing season, all guest crew agree as follows: 1. That I will not sail with the ship as guest crew unless having received a complete dosage of an Emergency Use Authorization (EUA) approved vaccine no sooner than fourteen (14) days prior to joining the ship. 2. If at any time within seven (7) days prior to joining the ship I develop or exhibit any COVID-19 symptoms as identified by the Centers for Disease Control and Prevention, I will immediately notify Pride. 3. If at any time within seven (7) days prior to joining the ship I have close contact with someone with a diagnosis of COVID-19, I will immediately notify Pride. 4. When sailing as guest crew but not aboard the ship, I will wear a mask everywhere that they are required and when social distancing cannot be maintained. COVID-19 Guest Crew Policy Acknowledgement* I have read Pride of Baltimore Inc.’s COVID-19 Policy for Guest Crew, and I agree that I will adhere to these procedures identified herein. Medical InformationThe captain must have knowledge of any medical conditions. Applicants over the age of 65 must provide documentation from their general physician or internist that, in their opinion, there is no apparent reason to prevent the applicant from participating as an overnight guest crew member aboard a sailing vessel.Date of last physical exam* MM DD YYYY * An exam within one year of departure date is required.Do you have any limiting physical conditions, physical challenges, or disabilities that may impact your movement on board?*Please selectYesNoIf yes, please explain:Do you have any chronic illness/es (such as asthma, cardiovascular disease, diabetes, epilepsy, heart disease, hypertension, kidney or liver disease, osteoperosis, etc.)?*Please selectYesNoIf yes, please explain:Do you have any special dietary needs or allergies?*Please selectYesNoIf yes, please explain:Do you have any mental or emotional challenges or conditions that may impact others in a group or impact your performance on board?:*Please selectYesNoIf yes, please explain:Please list all medical conditions (if none, please type "N/A"):*When was your latest (last) dental examination?* MM DD YYYY Do you have any pending dental concerns?*Please selectYesNoIf yes, please explain:Prescription Drug InformationPlease list all prescription drugs you intend to bring aboard PRIDE, the condition(s) they are treating, and any possible side effects if the medication is not available (if none, please type "N/A"):* Additional InformationHave you sailed on PRIDE in the past?*Please selectYesNoIf so, please list years and ports:What prompted to you want to sail on PRIDE?*How did you find out about the PRIDE overnight guest crew program?*Do you have any experience on the water (small boats, military, yachting, racing, training ships, etc.)?*Please selectYesNoIf so, please explain:What are you looking forward to most about your experience on PRIDE?*AcknowledgementOvernight guest crewing is a participatory experience - standing watch for four-hour durations, taking a turn at the helm, doing boat safety checks, helping with sail handling, helping with domestic chores, etc. Are you capable and willing to participate?*Please selectYesNoAcknowledgement* I hereby certify that the information provided in this application is true and accurate to the best of my knowledge.