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TRIP APPLICATION

Terms of agreement: (Please initial each one after reading)

A Deposit of $1000 is required to reserve my spot  


Full payment is due 60 days prior to departure


Cancellation within 90 - 61 days before travel, initial deposit is forfeited 


Cancellation wishing 60 - 45 days before travel, all deposits and payments are forfeited 


Cancellation with 45 days NO REFUNDS 


Dive and Travel insurance is mandatory 


Proof of insurance must be provided within 2 weeks of deposit 


I understand that if I do not have insurance for any trip, and I cancel, I will lose any money paid toward the trip 


Deposits made for a specific trip cannot be transferred to another trip being offered by Blue Water Divers, in lieu of a refund. 


Some dive operators and destinations require advanced diving skills. (Komodo, Galapagos e.g.) This doesn’t not mean Advanced Open Water Diver certification. In many cases, a minimum number of dives is required. This will assure you that you will enjoy the dives and have the skills to do so.

Each traveler must fill out and sigh this application. Please return it with your initial deposit to reserve a space on the upcoming trip. Hotel/diving arrangements will be confirmed once the completed form is returned. All cancellations must be in writing. The trip price is based on double occupancy. Single travelers will pay a single supplement rate, based on the Resorts policy. Please provide your name as it appears in your passport. 

I have read and understand the deposit, insurance and refund policy. I also understand that a trip application should be completed and returned for each trip I participate in. 

October 25, 2025

First Participant's Name
First Name*
Middle Name
Last Name*
First Participant's Date of Birth*
Date of Birth
First Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
First Participant's Signature*
Second Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Third Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Fourth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Fifth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Sixth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Seventh Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Eighth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Ninth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Tenth Participant's Name
First Name*
Middle Name
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Parent or Guardian's Email Address
Email*
Confirm Email*
Insurance
Insurance Carrier*
Insurance Policy Number*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Middle Name
Last Name*
Phone*
Parent or Guardian's Date of Birth*
Date of Birth
Parent or Guardian's
DESTINATION:
Passport Number
Expiration Date
Place of Issue
Dive Certification Level:
Date of Last Dive:
No. Of Dives
Where have you dived?
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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