Real Love 2023 Cruise Registration

Complete this form in its entirety and return with first deposit.

EACH PASSENGER MUST COMPLETE A REGISTRATION FORM.

Name *

First

Last

Email *

Phone Number

VIFP Number

VIFP stands for “Very Important Fun Person”

Date of Birth

U.S. Citizen

• Yes
• No

Emergency Contact Name *

First

Last

Emergency Contact Phone Number

Cruised Before?

• Yes
• No

Last Ship Sailed

Sharing a cabin with: 1. Name

First

Middle

Last

Address

T-shirt size: *

• S
• M
• L
• XL
• 2XL
• 3XL
• 4XL

Stateroom Choice

• Interior
• Ocean View
• Balcony

Vacation Insurance: Would you like to purchase optional vacation protection insurance?

• Yes
• No

Price per person: Interior – $49; Oceanview – $49; Balcony – $79

Pre-pay Gratuities:

• Yes
• No

Price per person $72.50

Special Needs. Do you have any special medical/dietary needs?

• Insulin Dependent
• Oxygen
• Other

If Other, please explain

Do you require a handicapped accessible cabin?

• Yes
• No

Are you traveling in a Wheelchair?

• Yes
• No

Will you need wheelchair assistance during Embarkation and Debarkation?

• Yes
• No

• I would like to receive email updates regarding future conferences

Comments or Questions

Submit