Bahamas Liveaboards Blackbeard's Cruises Trip Application

Scuba diving liveaboards Blackbeard’s Cruises are Twice the Fun & half the cost of other live aboards

*-required field

* First Name	* Last Name	MI	Nick (or Preferred) Name
Gender	DOB(mm/dd/yy) **	* Address
* City	* State	* ZIP	* Country
* Phone # Day	Phone # Evenings	* Email Address
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What travel documents are needed? Effective January 1, 2007, all travelers to the Bahamas will need a passport. Check with the Bahamas Embassy for visa requirements if citizenship is not US. Click Here
What is the minimum age for passengers on board? Blackbeard�s Cruises are geared towards diving so the recommended age for children would be 10 for junior divers and 12 for open water divers. Keep in mind that all children under the age of 15 must be supervised by a parent or guardian at all times. While our crew is most gracious and good with all ages, they WILL NOT provide childcare services or supervision at ANY time during the cruise.
* TRIP DATE mm/dd/yyyy (date of boarding)
How do you plan to travel to the Bahamas?
Plane Cruise / Ferry Info

* Arrival Carrier	* Flight #	* Arrival Airport	* Arrival Date	* Arrival Time
Departing Info
* Departing Carrier	* Flight #	* Departing Date	* Departing Time

Special Requests
Is this your 1st Blackbeard's Cruise?
If not, when was your last Blackbeard's Cruise?
If not, how many previous Blackbeard's Cruises?
We highly recommend the purchase of travel insurance. This will protect you in case you have to cancel your trip due to unforeseen circumstances. You may obtain information about travel insurance from our office or our website. Click Here
Have you or do you plan to purchase travel insurance?
Diving Information

* Are you a certified diver?	* # of Dives?	* Salt Water	* Fresh Water
I rate my skill as a scuba diver:	Certifying Agency	Level	Certification Number

Rental Requests
Regulator Dive Computer Dive Light BC Size
Wetsuit:Full Shorty Size
If renting a BC or Wet Suit: height weight
All rentals must be paid for inadvance, please contact the office to make these arrangements.

* Medical Information
Required medication Medication which may not be given Medical Alert Information
* Diver's Insurance Company & policy number		* Contact in case of emergency

* Relation

* Day Phone#

* Evening Phone#

In case of a medical emergency, I authorize the crew of the vessel to administer first aid or get proper medical attention if necessary. I understand that the nearest recompression chamber is hours away and may require air evacuation. The time involved with boat and air transport poses additional risk to my personal safety. I accept this risk and am fully prepared to pay all expenses related to evacuation and treatment should it be deemed necessary by the vessel or myself.
** Children under the age of 15 must be supervised at ALL times by a parent or guardian. Our staff and crew will not provide supervision or child care on board at any time.
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Blackbeard's Cruises
3700 Hacienda Boulevard
Suite G
Davie, FL 33314
Phone 954.734.7111 Toll Free 800.327.9600 Fax 954.321.6582
Questions, comments, suggestions? Email ws@blackbeard-cruises.com
Copyright© 2003, Blackbeard's Cruises