Please submit
ONE
form for each individual traveler.
If changes are required, please submit a NEW
form and
check the Revision
block below.
If you are attempting to cancel an existing reservation - go back to the
Trip Page and select the
Cancel
form. |
Trip: |
|
Form Status: |
Original
Revision |
Traveler Information |
Name: |
As Shown On Passport |
Travel Identification: |
Passport is
required.
Please
enter your passport information below:
Number:
Expiration Date:
You are responsible for providing the proper travel identification
documents to board the airline and/or to enter the country and reenter
the US.
U.S.
Department of State
as of 11-12-2016
Entry & Exit
Requirements:
You must
have a U.S. passport valid beyond
your planned departure date, proof
of an onward or return ticket, and
sufficient funds to cover the cost
of the length of stay. If you enter
Belize by land, you will be charged
different fees depending on if you
are staying for less than or more
than 24 hours. Belize does not
require specific immunizations for
visitors; vaccinations recommended
by the Centers for Disease Control
can be found at Belize
vaccinations.
If you are visiting as a tourist,
you do not require a visa.
Visitors planning to stay more than
30 days must have their passport
re-stamped by a local immigration
office and pay an additional fee for
every additional month they wish to
stay up to 6 months; for stays
longer than 6 months, you may need
to provide further documentation to
the local immigration office to
explain the reason for a longer stay
and pay additional fees. Visit
the Embassy
of Belize to the United States
website for the most current
visa information.
If you are traveling with children,
you may be asked by immigration
officials to show U.S. birth
certificates for each child. When
children are not traveling with both
parents, immigration officials often
request documentation to establish
the children are traveling with the
permission of both parents. Such
documentation may include notarized
letters from the parent(s), custody
or adoption papers, or death
certificates in situations where one
or both parents are deceased.
We are unaware of any HIV/AIDS entry
restrictions for visitors to or
foreign residents of Belize. Please
verify this information with the Embassy
of Belize before you travel. |
Home Phone: |
Include Area Code |
Home Address: |
|
City: |
State:
Zip:
|
E-Mail Address: |
|
Room Information
Please select "Room Type" for first
person in each room. If you are the second or subsequent person in
the room, indicate that in the "Room Type" blocks and fill in "Rooming
With" block. If
you are a single, the club will try to match you with a roommate unless you
indicate you will pay the "single rate". |
Room Type: |
|
|
Smoking |
NO YES |
Rooming With: |
|
Travel Information
There is
no Group Airfare package. See itinerary recommendation on trip
page, |
Dive Information |
Are You a Diver: |
YES NO |
Do You Want Nitrox: |
YES
NO |
Do You Need Rental Gear |
YES
NO |
Additional Information |
Comments:
or Additional Information: |
|
Emergency Contact Information (Optional) |
Name: |
Relationship: |
Address: |
|
Phone: |
Include Area Code |
City: |
State:
Zip:
|
E-Mail Address: |
|
Bluegrass Dive Club Trip Waiver |
Bluegrass Dive Club Trip Waiver Form |
Change this box to "YES"
to indicate that you have
READ and
AGREE to the
Bluegrass Dive Club Trip Waiver and enter your
initials here ==>
To view Waiver click ==>
HERE
If the
applicant named on this form is under the age of 18, this form will not be
valid unless submitted by a Parent or someone assuming guardianship
responsibility for applicant. Please enter name
of Parent/Guardian submitting this form.
The Bluegrass Dive Club does not require but
recommends you secure a "Child Care Authorization" document for any
non-custodial person under the age of 18 you plan to bring. Click
==> HERE for a PDF copy
of this form. |
Submit Form: |
Please be patient - Form may take a short time to process - You will
see a confirmation page when complete. You may want to print this
page for your records. |