The Burlesque Cruise February 2020 Registration Form
Email address *
Your First Name (as per passport) *
Your answer
Your Last Name (as per passport) *
Your answer
Phone Number *
Your answer
Date of Birth (please enter as dd/mm/year) *
Your answer
Gender (as per passport) *
Address *
Your answer
Cabin Type *
Names of room mate/s (Please arrange your roommates before registering for the cruise.) *
Your answer
Bed Configuration *
Your burlesque school (If any)
Your answer
Your burlesque stage name (if any)
Your answer
Burlesque experience *
Clothing Size for T-Shirt in welcome pack. (In Australian Ladies Standard Sizing) *
Travel Insurance Quote? (recommended - through Tickled Pink Travel) *
Australian Citizen? *
Dietary Requirements *
In Case of Emergency (Name and Contact Number) *
Your answer
Passenger Waiver & Release Form
Release & Waiver *
Required
Terms & Conditions *
Required
Registration & Payment *
Required
We look forward to cruising with you!
Please direct all inquiries to bubbleglamourcruise@gmail.com and visit https://www.theburlesquecruise.com/
for more information.
A copy of your responses will be emailed to the address you provided.
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