Group Cruise Client Intake Form
Gia Nuzzi - Cruise Vacation Specialist/Advisor
Grand Cruise Vacations LLC
www.grandcruisevacations.com
gia@grandcruisevacations.com
407-574-4877
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Full Legal Name (As shown on your Birth certificate or Passport) *
Date of Birth *
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DD
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Email *
Home address - No PO Boxes *
Cell Phone number *
What is the best way to reach you? *
Who will be in the cabin with you? Please provide me their full legal name, birth date, and address if different from yours. Please know that most cabins only accommodate 4 per cabin. *
Do you have a passport? *
If you do not have a passport will you get one at least 7 months before the trip? (Passports are HIGHLY recommended) *
Emergency Contact Name, Phone, and who they are to you. (Your emergency contact must be someone not sailing with you) *
Are you any of the following? *
Required
Dietary restrictions *
Required
What time would you prefer to dine? *
For Women - Are you pregnant? Please know, Pregnant women are only allowed to sail if pregnant for less than 24 completed weeks at the time of the cruise disembarkation. All pregnant women are Required to produce a physician's letter stating the mother and baby are in good health, fit to travel and the pregnancy is not high-risk. *
Do you have any Allergies (Food or Other), Health issues, or Health Restrictions that the cruise line should be made aware of? *
If, you answered YES to the above Health question please List here all allergies, Health issues, or Health/Physical Restrictions that the cruise line should be made aware of.
Will you purchase either the Cruise line Travel Protection or a recommended outside vendor Travel Protection? (This is HIGHLY recommended to protect you and your vacation investment.) *
Have you cruised before? *
What cruise line have you already sailed on? *
Required
What cabin type would you prefer? *
Required
What are some things that would make your trip enjoyable? (Feel free to choose multiple options) *
Required
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