CUBA BOOKING FORM

FILL OUT THE BOOKING FORM

Each individual trip participant must fill out a separate form. If you are traveling as a group, each member of the group still must go through this form separately and complete their own form.

Participant Info

First Name

Last Name

Phone

Date of Birth

Home Address

What is your exact name as it appears (or will appear) on your passport? Make sure this is correct. This will be the name we provide to hotels, airlines (if required), etc.

For double occupancy, what Is the name of the second occupant? (For single occupancy, please write N/A)

Do you have any health concerns we should be aware of (including life threatening allergies and any mobility challenges)? If so, please list them. If not, please write N/A

Do you have any Dietary Restrictions or Allergies? If so, please list them.

Do you have any other special requirements? If so, please list them.

If you were referred by an affiliate company or individual, please enter their name here.

Notes to Organizer

Who is completing this form? (Check all that apply)

I am an adult completing this form for myself.

I am an adult completing this form for another adult (guest).

I am a parent or legal guardian completing this form for a minor under 18 years old.

Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete.

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CUBA BOOKING FORM

FILL OUT THE BOOKING FORM

Participant Info