TRIP LIABILITY FORM
TRIP RESERVATION FORM
Bluewater Scuba Trip Reservation Form
Name of Trip
Date of Trip
Full Name on Passport
Last, First, Middle
Passport Expiration Date
Date of Birth
Mailing Address, City, State, Zip
Best Contact Phone
Master Scuba Diver
Approx. # of Dives
FEMALE ROOMMATE REQUESTED
MALE ROOMMATE REQUESTED
ANY GENDER ROOMMATE REQUESTED
SINGLE OCCUPANCY REQUESTED
Do you have dive insurance?
No, please send info
Dive Insurance Company
Do you have any medical history, medical condition, or physical impairment that would make traveling or diving related activities dangerous, hazardous, or expose you to exceptional risk? If "yes", please explain:
Emergency Contact Phone
What rental equipment, if any, will you need
Is there any specific training you would like to do on the trip or in preparation for the trip? If so, which courses?
Note: All trip quotes are based on cash prices. Booking fees may apply for payments by credit card. Due to fluctuations in airfares, fuel charges, taxes, etc., no trip quote can be guaranteed. Any changes by the customer in dates, accommodations, flights, or other aspects of the trip can affect the trip price and/or result in added administrative charges.
I acknowledge the statement above
Bluewater Scuba trip payments are all non-refundable, non-cancellable, and non-transferrable. To protect yourself against pre-trip cancellation or trip travel emergencies, we strongly recommend you purchase Trip Cancellation Insurance. A policy description and price quote is available at Bluewater Scuba or online through a link in the travel section of our website.
I have received information about Trip Cancellation Insurance
Trip Liability Form
Bluewater Scuba . 320 Mallory Station Road, Franklin, TN 37067 . (615) 771-0002