FULL LEGAL NAME   DOB  mm/dd/yy   CITIZENSHIP 

FULL LEGAL NAME   DOB  mm/dd/yy   CITIZENSHIP 

ORGANIZATION/CHURCH   

POSITION/TITLE

ADDRESS

CITY    STATE    ZIP  

CONTACT NUMBER 1    CONTACT NUMBER 2 

E-MAIL

SPECIAL NEEDS/COMMENTS

I understand that I must bring a picture ID to board the ship for the event

I will not be able to attend.

I will not be able to attend and would like someone to contact me about planning a cruise for my group.

*Please keep in mind, there is no cost for the event.  However, there is a $12.00 parking fee at the Port of Seattle