Expedition Registration

Select your Expedition Below

Sperm Whales, Dominica 2023

Name

First Name

Last Name

Address

Phone

Country

(###)

###

####

Passport Number

Birthday

YYYY

Emergency Contact

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

Dietary Restrictions

Please let me know if you have any dietary restriction for the lunches on board. While every effort is made to accommodate these, in many places certain dietary needs are difficult to address. Please consider bringing supplemental food if required such as bars, trail mix, energy packets, and etc to get you through a long day on the boat.

Booking Conditions

Select * I am in good health, physically fit, can swim at least 200 meters unaided, and do not have any health or physical impairments or conditions, including but not limited to back and neck problems, history of heart conditions and/or seizures, or mental impairments such as anxiety or phobias that would or should prevent me from participating in the program. I understand that there are inherent risks involved in water and animal activities, including but not limited to swimming, being in deep water, being near, interacting with whales or other land or marine animals, and that I could suffer scrapes, bites, cuts or bruises, and/or more serious injuries or illnesses. I agree to assume all risks, known and unknown, of serious personal injuries ,death, illnesses and/or loss of personal property resulting from or in any way connected with attendance at or participation in the Program I am at least 18 years of age and am of sound mind. I have read and understand the foregoing release and accept and agree to its terms and sign it voluntarily by selecting yes or no.

Session

Travel insurance company name and policy number

If you have this please provide the details of your policy. In the rare event of an emergency where you're unable to provide the details, we are able to contact them to make sure all procedures are met. Otherwise, please email through when you do obtain your travel insurance.

Arrival date

YYYY

Arrival Time

Hour

Minute

Second

FLIGHT NUMBER

Departure Date

YYYY

Departure Time

Hour

Minute

Second

FLIGHT NUMBER

Mobula Ray, Orca Registration

Name

First Name

Last Name

Address

Phone

Country

(###)

###

####

Passport Number

Birthdate

YYYY

Emergency Contact

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

Dietary Restrictions

Booking Conditions

Session

Travel insurance company name and policy number

Arrival Date

YYYY

Arrival time

Hour

Minute

Second

FLIGHT NUMBER

Departure Date

YYYY

Departure Time

Hour

Minute

Second

FLIGHT NUMbER

Copyright Caine Delacy_2016-8406 (1).jpg

New Form

Name

First Name

Last Name

Address

Phone

Country

(###)

###

####

Birthday

YYYY

Nationality

For Visa requirements

Emergency Contact

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

Dietary Restrictions

Booking Conditions

I am in good health, physically fit, can swim at least 200 meters unaided, and do not have any health or physical impairments or conditions, including but not limited to back and neck problems, history of heart conditions and/or seizures, or mental impairments such as anxiety or phobias that would or should prevent me from participating in the program. I understand that there are inherent risks involved in water and animal activities, including but not limited to swimming, being in deep water, being near, interacting with whales or other land or marine animals, and that I could suffer scrapes, bites, cuts or bruises, and/or more serious injuries or illnesses. I agree to assume all risks, known and unknown, of serious personal injuries ,death, illnesses and/or loss of personal property resulting from or in any way connected with attendance at or participation in the Program I am at least 18 years of age and am of sound mind. I have read and understand the foregoing release and accept and agree to its terms and sign it voluntarily by selecting yes or no.

Moorea Humpback Whales 2022

Name

First Name

Last Name

Phone

Country

(###)

###

####

Birthday

YYYY

Emergency Contact

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

Dietary Restrictions

Session

Travel Insurance Company Name & Policy Number

Flight Details

Please add your arrival and departure info

Accommodation

Please add info on where you're staying. If an Airbnb or other similar place, please send the link and any info your host sent through for its location.

Tubuai Expedition 22

Name

First Name

Last Name

Phone

(###)

###

####

Birthday

YYYY

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Dietary Restrictions

Session

Travel Insurance Company Name and Policy Number

Travel Insurance Company Name & Policy Number If you have this please provide the details of your policy. In the rare event of an emergency where you're unable to provide the details, we are able to contact them to make sure all procedures are met. Otherwise, please email through when you do obtain your travel insurance.

Flight Details

Flight Details * Please add your arrival and departure info

Secret Destinations Client Registration 2020

Name

First Name

Last Name

Address

Phone

Country

(###)

###

####

Birthday

YYYY

Nationality

For Visa requirements

Emergency Contact

First Name

Last Name

Emergency Contact Phone

Country

(###)

###

####

Dietary Restrictions

Booking Conditions

Secret Destination Session