New Clients: Please fill out the form below if you’d like for your information to be saved into my database for smooth sailing on future bookings!

Thank You!

Legal Name *
Legal Name
Or whatever name you go by
Phone *
Phone
How do you prefer to be contacted and what is the best time of day? *
Check all that apply
Birthdate *
Birthdate
Anniversary Date
Anniversary Date
Address *
Address
If you do not have a passport, please put N/A in the field
Issued Date
Issued Date
Expiration Date
Expiration Date
If you do not know what this is, leave it blank
Emergency Contact Name *
Emergency Contact Name
Emergency Contact # *
Emergency Contact #
Cruise Line Name - Loyalty Number If you do not know your loyalty number, I can look it up for you! Just list the cruise lines you've sailed with
If you have any loyalty/member numbers with certain airlines, please list those here!
Do you qualify for any discounts?
Different cruise lines offer different things. Please list what you may qualify for and I'll see if any special rates are being offered at time of booking!
Dietary restrictions or allergies, disabilities, etc.