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Cat Island Oceanic Whitetip Shark Expedition Guest Reservation Form
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First name:
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Your answer
Last name:
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Your answer
Date of Birth:
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MM
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DD
/
YYYY
Sex:
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Male
Female
Cell/Mobile Phone:
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Your answer
Email Address:
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Your answer
Emergency Contact Name:
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Your answer
Emergency Contact's Phone Number:
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Your answer
Emergency Contact's email:
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Your answer
Relationship:
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Your answer
PASSPORT INFORMATION
This information is required by the ship's captain in order to comply with coastguard regulations.
Nationality:
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Your answer
Passport Number:
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Your answer
Date of Expiry:
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MM
/
DD
/
YYYY
Place of Issue:
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Your answer
Country of Residence:
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Your answer
DIVING INFORMATION
Diving certification and dive accident and evacuation insurance are COMPULSORY on all of our scuba diving expeditions. Please remember to bring your scuba certification card and insurance card or policy.
Scuba Certification Agency:
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Your answer
Certification Number:
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Your answer
Certification Level:
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Open Water / Level 1
Advanced Open Water / Level 2
Rescue / Level 3
Dive Master
Instructor
Number of Dives:
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Less than 20
20-50
50-100
100-500
500+
How much shark diving have you done?
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None
A few shark dives
I am an experienced shark diver
Diving and Evacuation Insurance Company:
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Your answer
Insurance Policy Number:
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Your answer
MEDICAL AND DIETARY INFORMATION
Food Allergies:
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Your answer
Food Restrictions:
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Your answer
Pre-existing Medical Conditions:
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Your answer
Medications you will be taking:
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Your answer
Allergies to medication:
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Your answer
Any other medical information that we should be aware of:
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Your answer
A LITTLE FEEDBACK
This section is non-compulsory but we would really appreciate your input!
How did you learn about this trip?
Google/web search
Facebook
Instagram
Twitter
From a friend
Other
Clear selection
What other trips are you interested in?
Shark diving trips
Whale snorkelling trips
Dolphin snorkelling trips
Crocodile or anaconda diving trips
Terrestrial big animal trips (bears, big cats, gorillas, etc)
All of the above
What other trips would you like to see on the BFE schedule?
Your answer
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