Disco Cruise: Registration Form

Disco Cruise

Registration Form
Passenger information
Please enter name as it appears on your travel documents. If your name does not match you will not be able to board the ship.
Passenger #1 Name*

First NameLast Name
Passenger #1 Date of Birth*

MonthDayYear
Date
Passenger #1 Phone Number*
Please enter a valid phone number.
Passenger #1 Email*
example@example.com
Passenger #1 Citizenship status*
Passenger #1 Gender*
Passenger #1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Passengers?*

None+1+2+3
Passenger #2 Name*

First NameLast Name
Passenger #2 Date of Birth*

MonthDayYear
Date
Passenger #2 Phone Number*
Please enter a valid phone number.
Passenger #2 Email*
example@example.com
Passenger #2 Citizenship status*
Passenger #2 Gender*
Passenger #2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Passenger #3 Name*

First NameLast Name
Passenger #3 Date of Birth*

MonthDayYear
Date
Passenger #3 Phone Number*
Please enter a valid phone number.
Passenger #3 Phone Number*
Please enter a valid phone number.
Passenger #3 Citizenship status*
Passenger #3 Gender*
Passenger #3 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Passenger #4 Name*

First NameLast Name
Passenger #4 Date of Birth*

MonthDayYear
Date
Passenger #4 Phone Number*
Please enter a valid phone number.
Passenger #4 Email*
example@example.com
Passenger #4 Citizenship status*
Passenger #4 Gender*
Passenger #4 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cabin Type:*

Junior Suite - starting at - $1,385.63 per personBalcony - starting at - $935.63 per personOcean View - starting at - $865.63 per personInterior - starting at - $685.63 per person
*Price and availability are subject to change at any time.
Bedding type*

TogetherApart
Loyalty number:
Accessible cabin? (based on availability)*

YesNo
*Deposit of $150 per person due at time of booking. An email confirmation will be sent to you with a Credit Card authorization form for payment.
Should be Empty:

Disco Cruise

Passenger information