INDIVIDUAL TRAVELER INFORMATION

(If the address is the same for all travelers, you only need to complete address for Traveler #1)

*** FULL NAMES MUST BE LISTED EXACTLY AS THEY APPEAR ON PASSPORT ***

Address is the Same for All Travelers:

Select ... Yes No

Name (TRAVELER #1):

(Name as it appears on passport)

Name (TRAVELER #2):

(Name as it appears on passport)

Address (TRAVELER #1):

Address (TRAVELER #2):

Phone No. (TRAVELER #1):

Phone No. (TRAVELER #2):

Email Address (TRAVELER #1):

Email Address (TRAVELER #2):

Date of Birth (TRAVELER #1):

Date of Birth (TRAVELER #2):

Is TRAVELER #1 a US Citizen:

Select ... Yes No

Is TRAVELER #2 a US Citizen:

Select ... Yes No

Does TRAVELER #1 have a valid passport:

Select Yes No

Does TRAVELER #2 have a valid passport:

Select Yes No

Has TRAVELER #1 Cruised Before:

Select ... Yes No

Has TRAVELER #2 Cruised Before:

Select ... Yes No

Prior Cruise Line(s) & Program Number(s):

Prior Cruise Line(s) & Program Number(s):

TRAVELER #1 US or Canadian Military:

Select ... Yes No

TRAVELER #2 US or Canadian Military:

Select ... Yes No

TRAVELER #1 US or Canadian Law Enforcement, Fire Dept., or EMT:

Select ... Yes No

TRAVELER #2 US or Canadian Law Enforcement, Fire Dept., or EMT:

Select ... Yes No

Does TRAVELER #1 have any special needs (dietary/disability):

Does TRAVELER #2 have any special needs (dietary/disability):

Does TRAVELER #1 wish to purchase Travel Insurance:

Select ... Yes No

Does TRAVELER #2 wish to purchase Travel Insurance:

Select ... Yes No

We strongly recommend that you consider purchasing Travel Insurance. We will be happy to provide you with information regarding the various coverage options available.

If there are more than 2 Travelers in this reservation, please indicate the number of TOTAL travelers:

(We will request contact information for additional travelers later)

                       Any special occasion:

How did you hear about Exploring Your Roots Cruises?:

Thank you for your inquiry. A Worldwide Cruise Headquarters agent will contact you promptly. Once you click the ‘submit’ button, you will be redirected to our sitemap.

Which Exploring Your Roots Cruises Are You Interested In:

Will All Travelers be attending Family History Seminars:

Select ... Yes No

Names of Travelers NOT Attending Family History Seminars:

Type of Cabin:

Select ... Interior Promenade Large Ocean View Ocean View D1 Balcony D2 Balcony D3 Balcony E1 Balcony E2 Balcony Suite

Ship Location Preferred:

Bed Configuration:

Select ... Single Double

Number of Persons in Cabin:

Dining Time Preferred (Group is scheduled for Main, 6:00pm dining):

Select ... Main 6:00pm Late 8:30pm My Time Dining

Table Size Preference:

Select ... Large Small

Would You Like Cruise Line Air:

Select ... Yes No

Major City for Air Departure:

Cruise Line Transfers Needed:

Select ... Yes No

Will You Require Hotel Reservations:

Select ... Yes No

Will Hotel be Pre/Post Cruise or Both:

Select ... Pre-Cruise Post-Cruise Both

Number of Nights for Hotel: