FULL LEGAL NAME*   DOB  mm/dd/yy*   CITIZENSHIP* 

FULL LEGAL NAME*   DOB  mm/dd/yy*   CITIZENSHIP* 

ORGANIZATION/CHURCH         POSITION/TITLE

ADDRESS      CITY    STATE    ZIP    

CONTACT NUMBER 1    CONTACT NUMBER 2 

E-MAIL

PORT OF DEPARTURE PREFERENCE:    

SPECIAL NEEDS/COMMENTS

*The starred items must be submitted for each passenger to board the ship

I understand that I must bring a valid US Driver's License or valid Passport to board the ship