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Bella Cruising Experience

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Charter Application

Primary Guest

Primary Guest First Name

Priamry Guest Last Name

Charter Experience

Charter Start Date:

Charte End Date:

Food Allergies?

Yes

No

If yes please explain:

Emergency contact:

Relationship:

Code

Emergency Contact Phone

Ceck all certifications requesting:

Learn To Sail

Basic Cruising

Advanced Passage

PADI SCUBA - Open Water

PADI SCUBA - Advanced Open Water

Activitis inteested in:

Snorkeling

SCUBA

Island Excursions

Water Sports

SAILING, SAILING, SAILING

Select shirt size:

Small

Medium

Large

XLarge

XXLarge

XXXLarge

Upload Passport Picture

Upload supported file (Max 15MB)

May we ue pictues from your charter for promotional purposes?

Yes

No

Guest 2

Full Name

Email

Code

Phone

Food Allergies?

Yes

No

If yes please explain:

Emergency contact:

Relationship:

Code

Emergency Contact Phone

Ceck all certifications requesting:

Learn To Sail

Basic Cruising

Advanced Passage

PADI SCUBA - Open Water

PADI SCUBA - Advanced Open Water

Activitis inteested in:

Snorkeling

SCUBA

Island Excursions

Water Sports

SAILING, SAILING, SAILING

Select shirt size:

Small

Medium

Large

XLarge

XXLarge

XXXLarge

Upload Passport Picture

Upload supported file (Max 15MB)

Guest 3

Full Name

Email

Code

Phone

Food Allergies?

Yes

No

If yes please explain:

Emergency contact:

Relationship:

Ceck all certifications requesting:

Learn To Sail

Basic Cruising

Advanced Passage

PADI SCUBA - Open Water

PADI SCUBA - Advanced Open Water

Activitis inteested in:

Snorkeling

SCUBA

Island Excursions

Water Sports

SAILING, SAILING, SAILING

Select shirt size:

Small

Medium

Large

XLarge

XXLarge

XXXLarge

Upload Passport Picture

Upload supported file (Max 15MB)

Guest 4

Full Name

Email

Code

Phone

Food Allergies?

Yes

No

If yes please explain:

Emergency contact:

Relationship:

Ceck all certifications requesting:

Learn To Sail

Basic Cruising

Advanced Passage

PADI SCUBA - Open Water

PADI SCUBA - Advanced Open Water

Activitis inteested in:

Snorkeling

SCUBA

Island Excursions

Water Sports

SAILING, SAILING, SAILING

Select shirt size:

Small

Medium

Large

XLarge

XXLarge

XXXLarge

Upload Passport Picture

Upload supported file (Max 15MB)

I understand a $500 deposite towards my cruise is due to reseve my charter dates

I understand that provisions are not included in charter cost and must be paid before boarding Bella

I unerstand that the remaining amount owed is due 2 month prior to my first day on chater

I understand I will be sailing and living aboard with Davy Jones

Your Signature

We look forward to contacting you!

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