Cruise Passenger Vital Information Form
Thank you for entrusting your travel to my agency. In order for me to best serve you, I will need the following information:
Name As It Appears on Passport (passenger 1)
First Name
Middle Name
Last Name
Suffix
Will passenger #1travel with a passport?
Yes
No
I will be traveling with a birth certificate.
What is the expiration date of passenger #1 passport?
Name As It Appears on Passport (passenger 2)
First Name
Middle Name
Last Name
Suffix
Will passenger #2 be traveling on a passport?
Yes
No
I will be traveling with a birth certificate.
What is passenger #2 passport expiration date?
List the additional travelers Full Names / Dates of Birth / Passport or Birth Certificate
How many cabins will you need?
Please Select
1
2
3
4
5
6
7
Will this be a group of 8 cabins or more?
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have cruise line in mind?
Carnival
Royal Caribbean
Norweign
Princess
Celebrity
Holland America
Virgin Voyages (Adults Only)
Oceania
Regent Seven Seas
SilverSeas
Seabourne
Ritz-Carlton
SeaDream Yacht Club
Email
example@example.com
Cell Number
-
Area Code
Phone Number
Work Number (optional)
-
Area Code
Phone Number
Date of Birth (passenger 1)
-
Month
-
Day
Year
Date
Date of Birth (passenger 2)
-
Month
-
Day
Year
Date
Where would you like to travel?
What area would you like to sail?
Bahamas
Caribbean
Western Caribbean
Mediterranean
World Cruise
Australia
Hawaii
Other
How many days would you like to travel?
First Preference for Travel Date
-
Month
-
Day
Year
Date
Second Preference for Travel Date
-
Month
-
Day
Year
Date
Back
Next
Please give me a price range you would like to stay within (without airfare):
Will you n eed airfare?
Yes
No
Maybe
Are you pregnant or plan to be at time of travel?
If you have children traveling with you, will any be under 6 months old at travel date?
Do you have any dietary restrictions? If so, please list.
Do you need an accessible cabin or will you want/require a scooter?
Do you have any reward programs with airlines or cruise lines? If so, please list.
Will you need pre or post lodging any time during your vacation? How many days/nights?
Are there people that you would like to join you on this trip that I could contact on your behalf? Please list with email addresses:
Is there anything else I need to know?
Submit
Cruise Planners--Claire Record
claire.record@cruiseplanners.com
361-230-2237
Should be Empty: