DOMINICA APPLICATION FORM

GENERAL INFORMATION
FULL NAME *
FULL NAME
Date of Birth
Contact Information
PHONE *
PHONE
ADDRESS *
ADDRESS
BACKGROUND INFORMATION
Snorkeling Level *
Fitness Level *
Please be honest! If you are not fit enough to efficiently get in/out of the boat, then the entire group can lose opportunities with animals.
Open-water Comfort Level *
We'll be swimming in the open-ocean, with thousands of feet of water below us.
Do You Have Travel Insurance? *
Do You Have Dive Insurance? *
PASSPORT INFORMATION