International Traveler Information Form

International Traveler Information Form

one form per passenger per trip must be completed.
Name of traveler*

First NameLast Name
Name of Parent/Guardian of minor

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Trip Date of Departure *

MonthDayYear
Date
Trip Destination*
Date of Birth*

MonthDayYear
Date
Personal Information
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Customs information
Legal Name as it appears on your passport*

First Name/Middle Last Name
Passport Number*
Must be valid for at least 6 months past date of travel
Country Issued by*
Passport Expiration Date*

MonthDayYear
Date
Emergency Contact Information
Emergency Contact (not traveling with you)*

First NameLast Name
Relationship*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Diving Experience
I am a:*

DiverNon-Diver
Divers, please provide short history of dive experience
example: # of dives, highest level of certification, # of boat dives, date of last dive, and any additional details you'd like.
Diver: Please provide copy of your current highest certification card (this includes professional level)*

NON-DIVERS UPLOAD A FUNNY PHOTO TO MAKE US LAUGH!
Cancelof
Nitrox certification card

please provide if diving nitrox
Cancelof
Travel Booking Terms and Conditions

please read in full
All rates are subject to change until the purchase price for the applicable accommodation, product or service is paid in full. All rates are subject to change at any time due to the imposition of taxes or other government charges, fare increases, fuel or other surcharges, or other events beyond South Jersey Scuba's control. South Jersey Scuba may reissue the invoice for any reservation to reflect any such changes, or to correct any error in the computation of the purchase price of Guest(s) reservation. All DEPOSITS AND PAYMENTS ARE NON-REFUNDABLE. For any cancellations, the following cancellation policy applies to any payments that have been made excluding initial deposit: All cancellations must be made in writing via email. In the event South Jersey Scuba is able to fill a cancelled spot, a refund will be given minus 10% surcharge. Payments 14 days past due date will result in forfeiting of trip spot with no refunds. Diver insurance is REQUIRED. Trip insurance is HIGHLY RECOMMENDED for any unforeseen circumstances. If you decline travel insurance, you are acknowledging the risk associated with any unforeseen circumstances/events or monies lost are solely your responsibility. Travel at your own risk. South Jersey Scuba will not be held liable for any fees or additional accommodations required if traveler contracts an illness related to any pandemic. Additionally, South Jersey Scuba will not be held liable for any trip interruptions or delays for any reason including but not limited to pandemics, war, act of God, or terrorism. South Jersey Scuba RESERVES THE RIGHT TO CANCEL ANY TRIP THAT DOES NOT MEET REQUIRED MINIMUM NUMBER OF TRAVELERS. If a Travel Vendor (charter operator, resort, ect.) cancels: South Jersey Scuba will issue the following remedies if alternate arrangements cannot be made or customer cannot commit to alternate travel date selected (where applicable) 1. Extend current trip balance toward a different trip 2. Store credit 3. Full refund
I understand the statements above and:*

I have purchased travel insuranceI plan to purchase travel insuranceI do not plan to purchase travel insurance and acknowledge the risk associated with any unforeseen circumstances and events are solely my responsibility.
Travel Insurance/Diver Insurance

Travel insurance is HIGHLY suggested for all trips. Diver insurance is required.
If you need to purchase diver insurance (required), it can be purchased through Divers Alert Network here.

If you need to purchase travel insurance (highly recommended), it can be purchased through Divers Alert Network here.
By checking the box and signing, I agree to the terms and conditions below and all terms provided by South Jersey Scuba*

I agree
Collection of your personal data is solely for use by South Jersey Scuba and will never be shared with any other person, company, or entity save the US Customs and Border Protection Agency for official transit documentation, or if you explicitly give us permission to add your contact information to our mailing list, as above.
Signature

Clear
Should be Empty:

International Traveler Information Form

Personal Information

Customs information

Emergency Contact Information

Diving Experience

Travel Booking Terms and Conditions

Travel Insurance/Diver Insurance