Basic Registration Form - Good for Any Cruise We Offer
This information comes directly to us by email. If you want to confirm that
we've received this info, text to 318-348-1034 (Diane Gaines).
*Required field
Your name
as written on
drivers license,
passport, or I.D.:
Full Address,
Include City,
State and Zip
Home Phone:
Cell Phone:
Date of Birth:
Your email
Which cruise are
you registering for?
(include dates)
How did you find out
about this cruise?
Type of Cabin
(Inside, Oceanview,
Balcony, or Suite)
Cost of Cruise:
Your cabinmate:
(if known at this time)
Include Date of Birth
PAYMENT INFORMATION: Initial deposit and all
payments must be made by credit card or debit card.
Type of Credit Card:
(VISA, Master Card,
American Express,
Credit Card Number:
Expiration Date:
Name on Card:
Amount to be charged:
Indicate $ amount

1) CVV Code on back of your credit card
(Or, you may TEXT this to Diane at 318-348-1034.
Please include your name with text)

2) Do you prefer early dining (6pm), late dining (8:15pm),
or "Anytime Dining" (5:45 - 9:30 p.m.)
(Anytime dining means you will not be assigned a specific
table...and will not dine with the same guests each night.
However, this option affords more flexibility for working
around onboard shows, etc.)

3) Do you want Travel Insurance?

4) Do you want to Pre-Pay  your Gratuities?

5) Give emergency contact Information for you
and your cabinmate:
(Name & Phone Number & Relationship of contact person)

6) Do you have any special medical needs?
(Wheelchair, scooter, are you diabetic?, must be near
elevator due to walking restrictions etc.)

Note: This online form must be filled in for each person traveling,
unless cabinmate info is included in section below.
(Name, Date of Birth, Address, Phone#, & Payment Info)
Please note in space above if you would like the SAME CREDIT CARD
or DEBIT CARD to be used for future payments due. (final payment)

If there is any other info you think we need to know, or if you have questions,
you may email us at:

All information on this form comes directly to Diane Gaines via email