| First Name: |
|
| Last Name: |
|
| Date of Birth(mm/dd/yyyy): |
|
| Address Street 1: |
|
| Address Street 2: |
|
| City: |
|
| Zip Code: |
(5 digits) |
| State: |
|
| Phone#: |
|
| Email: |
|
| Please indicate the number of people in your cabin: |
|
| |
Cruising Alone |
| |
2 People (Double) |
| |
3 People (Triple) |
| |
4 people (Quad) |
| Cabin Type: |
|
| |
Interior Cabin |
| |
Oceanview (no balcony) Cabin |
| |
Oceanview (with balcony) Cabin |
| List the name of the person(s) that will be in the cabin with you. Please indicate if you are sailing alone. We will pair you up with someone.: |
|
| T-Shirt Size: |
|
| |
Small |
| |
Medium |
| |
Large |
| |
X-Large |
| |
2X-Large |
| |
3X-Large |
|
|
