Cruise Form

Name

Email Address

Address

Cruise Membership #

Birth Date

Home Phone

Work Phone

Cell Phone

Are Any Children Going On The Cruise? Are Any Children Going On The Cruise? Yes No

Children Names

Childs Birth Date

Amenities Amenities Inside Cabin Outside Cabin Balcony Single Double Triple Quad

Bus From SLO? Bus From SLO? Yes No

Any Other Special Information We Should Know?

Do You Have A Passport? Do You Have A Passport? Yes No

Do you have an original birth certificate with a raised seal? Do you have an original birth certificate with a raised seal? Yes No

Do You Want A Payment Plan? Do You Want A Payment Plan? Yes No

Any Cabin Mates? If So Please provide Name and Birthdate.