Confirmed Passenger Information Form
NOTE: This form is only for those who have booked a multiple-day trips with us.
Please fill out this form and print it out and mail it to the address provided.
(Tip: COPY and PASTE the form into a word processing program.
in the blanks and then print out two copies: one for you and one for us.)
PO Box 1694
Kodiak, AK 99615
Please provide us with the following information as soon as possible upon booking a multiple-day cruise with us. We find it important to have some basic information about each guest to assist in planning and preparing for your visit. Feel free to add any additional information, requests, etc.
* This information is required.
Special occasion? Please describe: ___________________________
Your name* __________________________
Mailing address* ________________________________
City* __________________________ State/province* _______________
Zip code/postal code* _______________
Birth date __________________________
Dates of your cruise aboard the Sea Breeze
Begin date* _____________________ Ending date* _____________________
When are you arriving in Kodiak? (We suggest you arrive at least one day ahead of your departure on the Sea Breeze and allow for an extra day after returning.)
Date* __________________________ Time* __________________________
Where will you be staying the night before your trip with us? (In case we need to get in touch with you)
Hotel or B&B* __________________________
Emergency contact person and phone number
Personal physician you would like us to contact in the event of an emergency:
Physician __________________________ located in (state/prov) __________________
List any medical conditions and medications you are currently taking:
List any allergies (bee stings, etc.) or special dietary needs (no milk, peanuts, vegetarian, etc.)
List any pertinent physical limitations:
Anything else you want us to know?
Thank you! We look forward to seeing you in Kodiak!