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PERSONAL INFORMATION FORM

Please complete one per person

There are two sections to this form -  Section 1. PERSONAL INFORMATION and Section 2. TRAVEL INFORMATION. If you have travelled with us recently and your information is current, you will NOT have to complete Section 1. PERSONAL INFORMATION and can skip straight to Section 2. TRAVEL INFORMATION below. 

 

Section 1. PERSONAL INFORMATION

 
First / Middle / Last
PASSPORT
Date of Issue *
Date of Issue
Expiration Date *
Expiration Date
DD/MM/YYYY
CONTACT DETAILS
Can you be reached on this email while traveling? *
Home Address *
Home Address
Address / City / Zip Code / Country
Please provide your best contact number for when you are at home. (country code / area code / phone number)
Please provided your travel number so that we can contact you in case of changes or an emergency. Type "None" if you don't intend on traveling with a phone. (country code / area code / phone number)
What is your preferred method of communication for us to contact you on while travelling?
Please provide details for us to connect with your preferred method of communication e.g. account name, email address or phone number associated with your preferred choice or type "None" if this does not apply.
PREFERENCES
Twin / Share / Single
EXPERIENCE
Please select an option that best describes your ability as a snorkeler even if you intend on being a diver.
Water Sports Activity Preferrence
Please select your preferred water sports activity when travelling on one of our water sports expeditions.
 
 

 

Section 2. TRAVEL INFORMATION

 
Select the expedition this information pertains to.
First / Middle / Last Name
CHOICE
Please select the water sports activity that you will be predominantly participating in on this expedition.
INSURANCE
Travel Insurance *
Mandatory comprehensive travel insurance MUST include medical, medical evacuation and accident (incl. snorkelling and SCUBA diving for divers), Insurance cover for trip cancellation, interruption, luggage. and personal effects protection is highly recommended.
DAN Insurance *
We highly recommend you use DAN insurance for snorkelling and diving above and beyond your travel insurance. DAN specialises in emergency services in remote destinations and has proven to be the best help in hard times and a very affordable option that compliments your travel insurance.
EMERGENCY CONTACT
First / Surname
Relationship
Emergency Contact's City & State
(country code / area code / phone number)
Emergency Contact Email or type "TBA" or "None"
DOCTOR INFORMATION
Doctors Name or "TBA" if To Be Advised.
Doctor's City & State or "TBA" if To Be Advised.
(country code / area code / phone number) or "TBA" if To Be Advised.
Please list or write "none"
Please list or write "none"
Please list or write "none"
(we will try our best but no guarantees that requested diets will be available):