Vic's Vacations 2025 Virgin Voyages Group Cruise - Sailor Intake Form

Please note by filling out this form, your card will not be charged immediately upon submission. Your travel agent will make your deposit when we manual book your trip.

Main Traveler Contact Information

Please enter your full legal name as it appears on your passport.

First Name *

Middle Name * 🛈

Last Name *

Date of Birth * +

Gender (as it appears on your passport) *

Male

Female

Other Other

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Additional Travelers

Additional Traveler #1

	Additional Traveler #1
*First Name	Additional Traveler #1
*Middle Name	Additional Traveler #1
*Last Name	Additional Traveler #1
*Date of Birth (mm-dd-yyyy)	Additional Traveler #1
*Gender	Additional Traveler #1
*Phone Number	Additional Traveler #1
*Email address	Additional Traveler #1
TSA Precheck # (if applicable)	Additional Traveler #1
Airline Frequent Flyer # (if applicable)	Additional Traveler #1
Other Info	Additional Traveler #1

I have confirmed the spelling of names and birth dates for all travelers, including myself, is correct as I entered it above. I understand if I have any incorrect information submitted on this form, I may be subject to change fees from the airline. *

Yes, I understand.

Cruise Information

Cabin Category *

Sea Terrace

Central Sea Terrace

Solo Insider

Other - I have worked with Jess and she has the details already for my cabin preferences

Other, please explain Other, please explain

Is this your first cruise? *

Yes

No

Other, please explain Other, please explain

Will you need a hotel for 1 night in Miami prior to cruise departure? *

Yes

No

Other, please explain Other, please explain

Do you want your agent to reach out to help select and secure flights? *

Yes

No

Other, please explain Other, please explain

Do you have any food allergies? If so, please list. *

Alcohol preference: *

I plan on enjoying alcoholic beverages

I will NOT be having alcoholic beverages

Other, please explain Other, please explain

Are you requesting a cabin near another sailor? If so, who? *

How did you hear about this trip? *

Passport Information

To travel internationally, you must have a passport BOOK that is valid through at least 6 months beyond your travel dates. A passport card is not a valid passport for entry to another country.

Cruises that start and end in the US, as well as domestic travel, do NOT require a passport book, and a passport card can work as a form of identification, but ANY international travel must have a book.

Passports: *

All of my travel companions listed above, including me, already have their passport, and they do not expire for at least 6 months after we return from our trip.

Some of my travel companions listed above have a passport, but not all yet. All will have passports before we travel.

N/A - we are not traveling internationally.

Other, please explain: Other, please explain:

Please upload images of passports (photo page only) for any passengers that currently have a valid passport. You may have multiple passports in one image upload.
*If you do not currently have access to your passports please continue with the form and double check that the names of travelers you provided have the exact spelling as your passport reads. Please send photos of the passports to your agent via email as soon as you have access to an image of them.

By e-signing below, I understand that I will need a passport book if I am traveling internationally. *

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Payment Information

Please submit the credit card that you would like to use to pay for your trip. Should you need to update/change your credit card details at a later time, you may contact Vic directly to make these changes.

Please DO NOT enter a debit card, as most resorts will not accept debit cards. Please enter a credit card instead if at all possible.

Please be advised by agreeing to book this trip, you are agreeing to allow me to make credit card charges on your behalf. These charges will only be on the credit card you have provided, and will be made at deposit, final payment, and any other payments you direct me to make.

Name on Card *

Credit Card Type

Visa

Credit Card Number *

Security Code *

Expiration Month *

Expiration Year *

Billing Address for Credit Card *

City *

State *

Zip Code *

By e-signing below, I have read and accept the terms of the Credit Card Authorization Form. *

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E-Signatures

TERMS AND CONDITIONS

By signing below, I certify that I have read and accept the Terms and Conditions and the Client Agreement with Vic's Vacations and Bethany Travel. I am signing on behalf of my entire traveling party. *

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Additional Information

Please include an emergency contact (name and phone number) for at least 1 person who is not traveling with you. *

Is there any additional information you want us to know before booking your trip?

Thank you for filling out this form. I look forward to booking your trip!!