Belize – Turneff Flats Resort Information OCEANIC VENTURES INC. TRAVEL APPLICATION - Turneff Flats, Belize Destination InformationShore-based Travel - Turneff Flatts Resort, BelizeTrip Pricing Information(Required)Please select your desired room type. The cost for the accommodations is outlined in the trip information and will appear on your invoice. The amounts are in USD and per person double, discounted for cash & club membership All extra fees are subject to change until billed and paid for in last payment. NOT INCLUDED: air fare, equipment systems rentals, tips for the local dive guides, tips for bar staff, bar and boutique tab, other activities not listed, marine reserve fee $25 and park entrance fee for Blue Hole dives ($40) paid in cash on Island, fishing licenses if fishing ($25), cave tubing Saturday in Belize City. Please note fishing is not included unless booked as a fishing/diving client, ask for a quote. Travel insurance, Private tours, Laundry, Crew gratuities Beachfront Room Other InformationTRAVEL POLICYThis application must be completed by each individual, signed and returned with the applicable deposit as outlined further on the form. Completing this form does not guarantee that space is available for the trip. The Company will notify you if there is available space and if you meet the requirements (e.g. certification level) to travel on the trip. Checks must be made payable to Oceanic Ventures, Inc.. Final payments are due in full, one hundred eighty (180) days prior to the departure date. On Oceanic Ventures, Inc. group trips, all travel fees paid, including deposits, are non-refundable unless the trip runs full and a suitable substitute can be found. For individual bookings and other types of travel, deposits and fees are refundable according to the refund policies of the companies (hotels, airlines, dive operators, etc.). An additional cancellation fee of twenty percent (20%) will be charged to cover the expenses of arranging the booking. Oceanic Ventures reserves the right to cancel a trip/booking due to an insufficient number of participants or the traveler not being qualified to participate in the trip. In the event a booking is canceled by the Company because of non-qualification or the trip is full, the deposit will be returned. Travel/Cancellation insurance is highly recommended and is available from Oceanic Ventures, Inc.. After the deposit is paid, all revisions require a $50.00 handling fee.Personal InformationName (please give full name as it appears on your passport)(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Mobile Phone(Required)Home PhoneOffice/Work PhoneEmail Address(Required) Enter Email Confirm Email Travel Insurance(Required)We highly recommend travel insurance for all travelers. This help you insure against a financial loss of your trip funds if you are unable to travel or some other insurable event occurs. Please remember that depositing on the trip, commits you to the trip and you are agreeing to pay all monies due even if you am unable or choose not to travel. Yes I already have travel insurance and I am attaching a copy of the policy. I would like a quote for travel insurance. However, I understadn that if I don't purchase travel insurance, I agree to the "no" terms below. I am declining travel insurance (i.e. I am self-insuring my trip). I understand that by making a deposit on the trip, I am committing to the trip and agree to pay all monies due even if I am unable or choose not to travel. Diving Insurance Company & Policy Number Other Health Insurance Carrier & Policy Number(Required) Birthday(Required) Nationality(Required) Sex(Required) Male Female Passport Number(Required) Issued at(Required) Expiration Date(Required) Roommate Request (not guaranteed) Room Configuration Private/Single (an extra charge will apply) One Bed/Bunk Two Beds/Bunks Dietary Request (not guaranteed) Event or Celebration during the trip? T-Shirt Size(Required) Polo Shirt Size(Required) Frequent Flyer Number & AirlineFrequent Flyer Number (all attempts will be made to include number but client is responsible to make sure number is on system at time of check in. Bring card to the airport.) Airline Seating Request (not guaranteed) Payment InformationInitial Deposit is $500 at time of booking; one-half of total payment is due twelve months out, 100% of trip cost is due 180 days prior to departure. Please note, the final payment subject to change due to taxes, transfers, additional side trips and changes in airline pricing until ticketed (if the price includes airfare). Please Note: All prices are subject to change until booked and ticketed. All moneys are due in full on deposit even if not paid in full and some penalties may ably for cancellations based on the operators policies and group penalties. As with most small island properties and vessels, cancellations are more of an issue so they have limited ability to fill unused spaces. We highly recommend trip insurance to help avoid any unnecessary problems. No refunds for missed flights or changes in plans. Trip insurance and diving insurance can be found at http://oceanicventures.com/travel-insurance/. Both Dive Assure/DAN and Travel Guard have a family plan. Diving Accident and Medical Insurance is required. Vessel and OVI travel releases are required. Please plan to bring a copy of your logbook, c-card, and diving insurance. Passport must have a minimum of 6 months validity prior to passport expiration. No refunds for missed flights or boats. Oceanic Ventures trip application and waiver are required at the time of booking to hold space and the vessel application at final payment. Note: All guests spaces are reserved upon deposit. But unless a minimum number of guest sign up for the trip by the deadline dates, an Oceanic Ventures trip leader will not be attending. DIVING EXPERIENCECertified Diver?(Required) Yes No Highest Diving Certification Level Certification Number Certification Agency Diving History Approximate Number of Dives How Many Dives in past 12 months Date of Last Dive Do you need any special dive equipment for this trip?Indicate what equipment Emergency Contact InformationName(Required) Relationship(Required) Phone Number(Required) Other Phone Number Other InformationAre you a member of Club Aquarius?The Club Aquarius Social Club is part of an International organization of diving enthusiasts who want to be able to maximize their dive time year round, meet new divers and always keep up to date on the latest diving travel, education and equipment. You can join by going here - https://oceanicventures.com/product/club-aquarius-social-club-membership-family/ Yes No Would you like to utilize our VIP Diver’s Packing Service (your dive equipment packed and weighed ready to go)?We can pick-up your equipment from your home, pack it in your travel bag and make sure it is the correct weight for your travels. There is an additional cost for this service. Yes No Would you like to utilize our VIP Diver’s Cleaning Service (your dive equipment cleaned, dried and repacked)?We will take your equipment and clean, treat, dry and repack it in your travel case after the trip. There is an additional charge for this service. Yes No Would you like to utilize our VIP Diver’s Shipping Service (your dive equipment delivered to your destination)?We can pack and pre-ship your equipment using a freight forwarder or other means of shipping. This option requires some pre-planning and may require you to have your equipment ready up to one to three months in advance. Yes No Would you like to take a continuing education course from us on this trip? If so what would you like to take? Night Diving Boat Diving Navigation Search & Recovery Deep Diving Wreck Diving Stress Rescue Under Water Photography Dry Suit Rebreather Course Wreck Penetration Normoxic Trimix Trimix Additional Information:Please attach/upload copies of your passport, certification card, diving insurance card and your health insurance card.Passport(Required)Please upload the photo page from your passport. Please note that your passport must have 6 months of validity from the ending date of the trip otherwise you will not be able to travel.Max. file size: 128 MB.Other Immigration DocumentationIf applicable, please upload a copy of your green card, visa or other documentation. Drop files here or Select files Max. file size: 128 MB. Dive Certification Card(Required)Please upload your certification card. You should load your nitrox or other card the operator will need for you to participate in the diving events on this trip.Max. file size: 128 MB.Diving Insurance Card(Required)An active Dive Assure, DAN, etc. accident Insurance plan is required for the trip. Should you need to enroll in a program, you can find the appropriate links at https://oceanicventures.com/travel-insurance/ Max. file size: 128 MB.Health Insurance CardMax. file size: 128 MB.Travel Insurance PolicyWe highly recommend trip insurance; If you have already purchased travel insurance, please send us a copy of the certificate. If you need travel insurance, you may find the appropriate links here - https://oceanicventures.com/travel-insurance/ Drop files here or Select files Max. file size: 128 MB. Traveling with Minors DocumentationFor divers under 18 years of age not traveling with BOTH parents, you will need a letter from the other parent granting permission to travel outside of the United States. Additionally, a Medical Authorization for Treatment may also be required. Drop files here or Select files Max. file size: 128 MB. TRAVEL AND TOUR CONTRACTUAL LIABILITY RELEASE & WAIVER - THIS IS A RELEASE OF YOUR RIGHTS TO SUE1. I UNDERSTAND THAT THE PURPOSE OF SIGNING THIS DOCUMENT IS TO EXEMPT AND RELEASE OCEANIC VENTURES, INC. & OVI TECHNICAL TRAINING (HEREAFTER CALLED DIVE STORE) THEIR EMPLOYEES, AGENTS AND ASSIGNS AND TO HOLD THESE ENTITIES HARMLESS FROM ANY AND ALL LIABILITY ARISING AS A CONSEQUENCE OF THE FOLLOWING OR ANY OTHER ACT OR OMISSION ON THEIR PART, INCLUDING BUT NOT LIMITED TO, ACTIVE OR PASSIVE NEGLIGENCE. 2. By way of my signature on this contract I certify that I am a certified diver or a student diver and have been taught and understand that scuba diving is a hazardous sport. I also fully understand that scuba diving has inherent risks and dangers including, but not limited to, risks associated with equipment failure which could lead to my serious injury or death. BY MY SIGNATURE ON THIS DOCUMENT I EXPRESSLY ASSUME THESE RISKS. I acknowledge that I am physically fit to scuba dive or snorkel and engage in this trip. I further agree that I will not hold any of the above named individuals, persons, or entities responsible should I become injured as a result of a medical condition while I am participating in this trip, scuba diving or snorkeling. At no time during this trip will I have in my possession any illegal drugs, nor am I taking, nor have I recently taken any drugs or medications which could cause an adverse reaction as a result of combining such drugs and/or medication with scuba diving. 3. In consideration for allowing my participation in this trip, which is being offered by the dive store, I fully understand that prevailing weather conditions may cause certain modifications to the dive program. I also fully understand that the transportation or equipment made available by the resort or boat operators who are providing services to me is not the responsibility of the dive store. I also fully understand and agree that the dive store acts only on behalf of itself and itself alone in arranging this travel/trip tour. I understand the dive store is in no way responsible for any acts, errors, or omissions including active or passive negligence by any provider of transportation, equipment, dive services, hotel, tour operator, divemaster, scuba instructor, dive boat, dive boat captain and crew, or any other provider who is engaged to render any service whatsoever on this trip/tour. 4. My signature on this document affirm that I am fully aware of the dangers, risks and hazards of holding my breath while diving and the dangers associated with a rapid ascent. I certify that I am fully aware of the possibility that my equipment may malfunction during a dive which could include a free flowing regulator, stuck inflator button or unwanted inflation of my buoyancy compensator. I certify that I have been trained and know how to overcome these eventualities should they occur to me. I agree not to hold any of the individuals or entities named within this document responsible for any such act. 5. IT IS MY EXPRESS INTENTION BY WAY OF THIS INSTRUMENT AND MY SIGNATURE HEREON TO GIVE UP ALL OF MY RIGHTS TO SUE ANY INDIVIDUALS OR ENTITIES REFERRED TO WITHIN THIS DOCUMENT, WHETHER SPECIFICALLY NAMED OR NOT. FURTHERMORE IT IS MY EXPRESS INTENTION TO EXEMPT AND RELIEVE THE DIVE STORE, THEIR EMPLOYEES, AGENTS AND ASSIGNS AND TO EXPRESSLY AGREE TO INDEMNIFY AND HOLD THESE ENTITIES HARMLESS FROM ANY AND ALL LIABILITY FOR PERSONAL INJURIES, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY ANY ACTIVE OR PASSIVE NEGLIGENCE RELATED IN ANY FASHION TO MY PARTICIPATION IN THIS TRIP. I SPECIFICALLY AND EXPRESSLY ASSUME ALL RISKS IN CONNECTION WITH THIS TRIP. 6. I HAVE READ AND UNDERSTAND THE FOREGOING IN ITS ENTIRETY AND I AGREE TO THE TERMS AND CONDITIONS HEREIN AND ABOVE SET FORTH ON BEHALF OF MYSELF, MY HEIRS AND MY PERSONAL REPRESENTATIVES. I REALIZE THAT THIS DOCUMENT IS A CONTRACT.Model & Property ReleaseBy way of my signature on this document, and in consideration for allowing my participation on this trip, which is being offered by the dive store, I hereby irrevocably authorize Oceanic Ventures, Inc., Square Rig Photography, Eric V. Keibler and/or Ann Y. Keibler to use photographs of me and or my property and authorize him/(her/their and his/her/their assignees), licensees, legal representatives and transferees to use and publish (with or without my name, company name, or with a fictitious name) photographs, pictures, portraits or images herein described in any and all forms and media and in all manners including composite images or distorted representations, and the purposes of publicity, illustration, commercial art, advertising, publishing (including publishing in electronic form on CDs or internet websites), for any product or services, or other lawful uses as may be determined by the photographer or studio named herePhoneThis field is for validation purposes and should be left unchanged.