Travel Application
This agreement is for us to ensure we’re all on the same page. It also gives our trip leaders a chance to get to know you and your diving history before the trip so that they can plan accordingly.
Tip Destination
Name - Nick Name
First Name
Last Name
Name as it is on your Passport
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com. Please use same eMail as your SSI account.
Do you have an Up to Date Passport?
*
Yes
No, I need to renew
I never had a Passport, I Need to apply
Have you traveled out of the USA before?
*
Yes
No
Are you a U.S. Citizen? ( If you are traveling internationally)
*
Yes
No
NA/ This trip is within the USA
If Flying to a Destination within the USA, I understand that I MUST have a valid "REAL ID" ( Passport acceptable also for domestic flights)
*
I understand
Travel Destination Restrictions. ---- Do you understand that some destinations may be restricted to you if you have any history of a felony, or may need clearance from the Gov to travel to particular destinations.
*
I have Read & understand
Diving Background History
Are you a certified Open Water diver or will you be certified before this trip?
Yes, I’m already certified
I’m currently in class and doing certification dives before the trip
No, I’m a non-diver
If you are a certified Diver, What is your level of diving.
Beginner Open Water
Advanced Certified
Above Advanced
Have you dove in the last year?
Yes
No and I plan on diving before the trip
No and I DON’T have any plans to dive before the trip
Do you have an active Medical Statement Form signed within 1 year of the trip?
Yes, it’s already on my SSI profile and I’ll have a copy
Yes, I have a copy
No and I understand it will need to be completed BEFORE traveling
Do you have/ or will dive insurance active for this trip? ( All trips must have the Basic Dive insurance. ) Please see us for more info.
DiveAssure
Diver Alert Network ( DAN)
I Need to Renew.
I do not have Dive Insurance yet.
Dive Certification Agency / Number ( If Already Certified )
How Many Logged Dives do you currently have?
Estimate
How many ocean dives have you logged?
Estimate
How many dives deeper than 100 feet have you logged?
Estimate
How many night dives have you logged?
Estimate
How many drift dives have you logged?
Estimate
Room Requests
Each Trip Destination has different room/cabin setup and can not guarantee your request.
Most rooms are set up for Double Occupancy. We do our best to fit a roomate with you. Please note, If a Roomate is not signed to you. You are responsible for the Single Room rate.
*
Double Occupancy - I have a roommate
Double Occupancy - Please help me find a roommate.
Single Room - I agree to the Single Room Price
After your application is accepted and entered you will receive a trip preference form and a separate waiver emailed to you. This too MUST be filled out in order for this travel reservation be complete. Thank you for taking the time, We understand Paperwork is a Pain.
*
I agree to I will fill out the Wavier & Trip Preference form when emailed to separately me.
Submit
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