Deposit is per person in stateroom)
If paying separately adjust Qty to 1
First Passenger Name (As Shown on Passport) :
First Passenger DOB (Date Of Birth):
First Passenger Mailing Address:
First Passenger Phone
First Passenger E-mail:
First Passenger Emergency Contact (Name & Phone Number)
Second Passenger Name (As Shown on Passport) :
Second Passenger DOB (Date Of Birth):
Second Passenger Mailing Address:
Second Passenger Phone
Second Passenger E-mail:
Second Passenger Emergency Contact (Name & Phone Number)
Complete 3rd and 4th Passengers (if applicable),
otherwise skip to next sections.
Third Passenger Name (As Shown on Passport) :
Third Passenger DOB (Date Of Birth):
Third Passenger Mailing Address:
Third Passenger Phone
Third Passenger E-mail:
Third Passenger Emergency Contact (Name & Phone Number)
Fourth Passenger Name (As Shown on Passport) :
Fourth Passenger DOB (Date Of Birth):
Fourth Passenger Mailing Address:
Fourth Passenger Phone
Fourth Passenger E-mail:
Fourth Passenger Emergency Contact (Name & Phone Number)
Remember to complete the following:
Stateroom choice requested (Inside Stateroom, Oceanview, Balcony, Mini Suite 0r Other type:
Type of Cabin:
Please select one
Solo / Single Cabin/Stateroom
Inside Stateroom IC
Inside Stateroom IB
Ocean View Stateroom O
Balcony Stateroom BD
Balcony Stateroom BC
Balcony Stateroom MB
Balcony Stateroom MA
Dance Level (Beginner, Improver, Int/Adv or Leave Blank
Please select one
Beginner
Improver
Intermediate/Advance
Add-On:
Would you like to add Gratuity?:
No
Yes
Would you like to add Transfer?:
No
Yes
Do you need a flight?:
No
Yes
If airline is needed: Indicate to / from and when:
Do you need lodging?:
Before, after or both (explain):
How did you hear about the cruise?
Facebook
Website
Instructor
Dance Event
If you heard about from a dance event,
Please indicate which one:
If you heard about it from instructor,
please select from the following:
Tina or Irv Foster
Brandon Zahorsky
Trevor Thornton
Felicia Harris Jones
Donna Manning
None, online search by myself
Any other comments?