4-day Coastal Getaway - Reg Form - Michelle's Swing Dance

Your contact information

Passport - First name(Required)

(First and Last names must exactly match what is on your passport)

Passport - Middle name

Passport - Last name(Required)

Name you prefer to be called

Date of birth (mm/dd/yyyy)(Required)

Mobile phone(Required)

Home phone

Email(Required)

Gender

Martial status

Passport information

Note: A current Passport is required to board this cruise and it must be valid for 6 months past the cruise return date. If you do not currently have a valid Passport, please ensure you will before your travel departure date.

Citizenship country(Required)

Birth country(Required)

Passport number

Passport issuing authority

Passport issue date (mm/dd/yyyy)

Passport expire date (mm/dd/yyyy)

Emergency contact

Note: Your emergency contact should be someone who is not traveling with you.

Name(Required)

Relationship(Required)

Phone(Required)

Email

Cabin information

Cabin type(Required)

Fare type(Required)

Occupancy(Required)

Sharing a cabin with:(Required)

List cabin-mate name(s) here, if any

Bed configuration(Required)

Complimentary upgrade if available(Required)

(Note: complimentary upgrades do not allow cabin choice)

Request ship area/Deck/Cabin #

Dining(Required)

Have you sailed with "Carnival" before?(Required)

If yes, list your VIFP past passenger number

Deposit

Deposit(Required)

Insurance and travel options

Vacation protection insurance(Required)

Payment information

Deposit & Final Payment ... Please note: to secure your reservation, you will need to pay the deposit as noted for this cruise.

For security, please contact Michelle directly with your credit card information for the "cruise" payment.

Credit Card info required
CC#
Exp Date
Code
Name as it appears on your card
Billing Address

Group Fee ... Please note: Prior to cruise departure, you will need to pay a separate Sea Magic Group Fee directly to Michelle Kinkaid. Payment is accepted by check, Venmo or Zelle. Credit cards are not accepted for the group fee.

Authorized signature(Required)

By signing here I affirm I am the authorized signer for this registration form

4-day Coastal Getaway – Reg Form