Passenger Info Form
Thank you for choosing us to plan your next adventure! Please have each traveler complete this form.
Trip Name
*
Full Name (exactly as it appears on your passport, enter NONE for Middle Name if you don't have one on your passport)
*
First Name
Middle Name
Last Name
Preferred Name
Cell Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What is the best way to contact you?
T-Shirt Size (Unisex)
T-Shirt Size (Women's) - If applicable
Birth Date
*
-
Month
-
Day
Year
Date
Gender
*
Male
Female
Passport Number
*
Passport Expiration Date (most destinations require your passport to be valid for 6 months beyond the dates of your trip)
*
-
Month
-
Day
Year
Date
Please upload the photo page of your passport (make sure there is not any glare).
Browse Files
Drag and drop files here
Choose a file
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of
Citizenship
*
What country were you born?
*
In case of Emergency, please notify (someone not on the trip)
*
First Name
Last Name
Relationship to Emergency Contact
*
Phone Number of Emergency Contact
*
Please enter a valid phone number.
Name of Traveling Companion, if applicable
First Name
Last Name
Would you prefer double or single occupancy? If you are not traveling with someone and would like a roommate, we will try our best but can't guarantee a roommate. Single occupancy is subject to a single supplement.
Double Occupancy
Single Occupancy
If you would like a roommate, please select your preferences below.
Male
Female
Smoker
Non-smoker
No preference
Will you be celebrating a special occasion on the trip?
Airline Seat Preference
Please Select
Window
Aisle
Middle
No preference
Frequent flyer number (please enter airline too!)
Known Traveler Number (Global entry)
Are there any health considerations or mobility requirements we should be aware of?
Are there any dietary preferences or allergies we need to know?
Are you a diver (or will you be a diver by the time of the trip)?
*
Yes
No
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Next
Diving Experience
Certification Agency (PADI, NAUI, SSI, etc) and Certification number (highest certification level, ie Open Water, Advanced Open Water, Rescue, Divemaster, etc)
Nitrox Certification Agency (PADI, NAUI, SSI, etc) and Nitrox Certification number (if nitrox certified)
Diving Ability
Beginner (less than 20 dives and only open water certification)
Intermediate
Advanced
Professional (Divemaster, Instructor, etc)
How many dives have you made?
When and where was your last dive?
Do you need to rent gear?
Yes
No
Unsure
DAN Policy Number and Dive Accident Insurance Plan
Are you an underwater photographer? If so, what camera do you have?
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Next
Would you like to add on a pre/post extension to your trip? (ie. add extra days at the resort or different resort or maybe explore a different part of the country or region)
Yes
No
Unsure
Are there any other travel preferences or anything you would like to share with us regarding your trip?
Submit
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