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Ship Tour "Registration for Invitation" Form

- This form is to register for an invitation for a Ship Tour.  
- Invitations are sent based on the order in which you make your request, as space is limited for each tour.  So please register NOW.
- You may also use this form to Request More Information.

Scheduled Tours 
Tours are released 3 months in advance, check back often

Pt Canaveral, FL Dec 3, 2017
Pt Canaveral, FL Feb 25, 2018
Ft Lauderdale, FL Mar 5, 2018
Bayonne, NJ, Mar 31, 2018

MORE 2018 Ship Tour Dates COMING SOON !!!

Ship Tours - Registration
NOTE:
- Any Ship Tour form you previously submitted to us AUTOMATICALLY registered you for FUTURE TOURS
- Please refrain from submitting this form if your family has sailed on a Staffed Cruise. Tour slots are minimal and our demand for tours are very high, therefore request for tours for families who have sailed on a Staffed Cruise will not be granted. Thank you for your understanding.
Ship Tour Registered?

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DO NOT RE-SUBMIT THIS FORM PLEASE. You are already registered.

Ship Tour Port Cities we are Available for
Select all that you are willing to commute to for a Tour

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Expectations
Select all that apply

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Other
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Challenges
Challenges / Concerns about Cruising or Vacationing - Select any that apply

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Other
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People Requesting to Tour - MUST enter EACH person's name below
Qualified Family Members
- Parent/Guardian/Caregiver - Maximum of Two (2), plus
- Children (regardless of age, including adults) with Special Needs, plus
- Typical Siblings (under 18) :


NOTE: At least one Parent/Guardian of a Child w/Special Needs MUST attend (these tours are for special needs family members only)

1st Person - First and Last Name
(MUST BE PARENT/GUARDIAN)
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Date of Birth*
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This person is a

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Cruise History*

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Did you book your cruise through us (AotS) a Cruise Line (which cruise line) or Travel Agent?
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2nd Person - First and Last Name
(Continue to list Adults FIRST, then children)
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Date of Birth*
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This person is a*

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Cruise History

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3rd Person?
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3rd Person - First and Last Name
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Date of Birth*
/ / Invalid Input

This person is a

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Cruise History

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4th Person?
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4th Person - First and Last Name
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Date of Birth*
/ / Invalid Input

This person is a

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Cruise History

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5th Person?
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5th Person - First and Last Name
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Date of Birth*
/ / Invalid Input

This person is a

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Cruise History

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6th Person?
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6th Person - First and Last Name
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Date of Birth*
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This person is a

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Cruise History

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Contact Person - Parent/Guardian
First Name
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Last Name
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Email*
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Mailing Address - Street
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City
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Resident State
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Zip Code
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Home Number
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Cell Phone
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Comments, Questions, Request More Info, ect
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How did you learn about "Seas for Autism"?

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Other
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Personal Identification Required
If you are selected for one of our Ship Tours, each adult (18 and older) will be required to supply additional Personal Identification information such as Driver's License Information (number, state, ect) and bring that same form of Identification with you to the Ship Tour. Detailed instructions for this Identification will be supplied to you once you are selected and invited for a tour.
By submitting this form I do understand that I will also be receiving Autism on the Seas periodic emails (approx once every month or so) on Discount Specials, new services and other vacation options as they are released. I understand I can cease these emails at any time.
Security Code
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