Booking Form

Surf Adventure Information

Destination

Departure Date

Return Date

Special Meal Requirements

Describe your meal needs

Contact Information

First Name

Last Name

Phone Number

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Do you have a different shipping address?

Yes

Shipping Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Passport Information

Passport First Name

Passport Middle Name

Passport Last Name

Passport Nationality

Occupation

Passport Birthdate

Month

Date

Year

Passport Number

Passport Place of Issue

Passport Expiration Date

Month

Date

Year

Passport Date of Issue

Month

Date

Year

Emergency Information

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Additional Information

Tell Us How You Heard About Us

Frequent Flyer Number

Seat Preference

Do You Have Allergies?

Global Entry Number

T-Shirt Size

What Allergy

Additional Information, Comments or Special Requests

Agreement

I have read and agree to the Terms and Conditions and Privacy Policy *

I am aware that a "WaterWays Travel" trip, in addition to usual and inherent risks, has certain additional risks and dangers which may include: physical exertion for which I may not be prepared; remoteness to normal medical services; weather extremes subject to sudden and unexpected change; and evacuation difficulties if I am disabled. *

I accept all inherent risks of the proposed trip and possibility of personal injury, death, property damage or loss resulting therefrom. *

In entering into this agreement, I am not relying on any oral, written, or visual representations or statements by WaterWays Travel, its agents or staff, or any other inducement or coercion to go on the trip, hence, only of my own free will. *