{"id":6942,"date":"2026-04-22T13:56:15","date_gmt":"2026-04-22T18:56:15","guid":{"rendered":"https:\/\/oceanicventures.net\/travel_forms\/?page_id=6942"},"modified":"2026-04-22T14:04:11","modified_gmt":"2026-04-22T19:04:11","slug":"oceanic-ventures-travel-information-truk-lagoon-2027","status":"publish","type":"page","link":"https:\/\/oceanicventures.net\/travel_forms\/oceanic-ventures-travel-information-truk-lagoon-2027\/","title":{"rendered":"Oceanic Ventures Travel Information &#8211; Truk Lagoon 2027"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-6944 size-full\" src=\"https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon.jpg\" alt=\"Chuuk Lagoon May 23-29, 2027\" width=\"1920\" height=\"400\" srcset=\"https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon.jpg 1920w, https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon-300x63.jpg 300w, https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon-1024x213.jpg 1024w, https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon-768x160.jpg 768w, https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2026\/04\/TRAVEL-FORM-BANNER-2027-Truk-Lagoon-1536x320.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<figure id=\"attachment_6761\" aria-describedby=\"caption-attachment-6761\" style=\"width: 174px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6761\" src=\"https:\/\/oceanicventures.net\/travel_forms\/wp-content\/uploads\/2024\/09\/done-signing.jpg\" alt=\"Signing Checkmark\" width=\"174\" height=\"98\" \/><figcaption id=\"caption-attachment-6761\" class=\"wp-caption-text\">You will see this when you have completed the form<\/figcaption><\/figure>\n<p style=\"text-align: center;\"><span style=\"font-size: 14px;\"><em>This is a two-step form. First, complete the information below, and then the system will generate a summary you will need to sign electronically, accepting it after signing it<\/em><\/span><span style=\"font-size: 14px;\"><em>. If it is done correctly, you will see a large &#8220;checkmark&#8221; on the screen<\/em><em>.<\/em><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14px;\">__________<\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"font-size: 14px;\"><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_65' >\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">OCEANIC VENTURES INC. TRAVEL APPLICATION - Truk 2027<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_65'  action='\/travel_forms\/wp-json\/wp\/v2\/pages\/6942' data-formid='65' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_65' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_65_200\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_200'>Name<\/label><div class='ginput_container'><input name='input_200' id='input_65_200' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_65_200'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_65_188\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Destination Information<\/h2><div class='gsection_description' id='gfield_description_65_188'>Liveaboard Based Travel - M\/V Truk Odyssey, Weno, Chuuk State Federated States of Micronesia\n\nDEPARTURE AND ARRIVAL CITY: Weno, Chuuk State Federated States of Micronesia\n\nCharter Dates: ARRIVE: May 22-29, 2027\n\nSTYLE OF TRIP::Liveaboard Trip, Group Booking\n\nDiving Certification Requirement: Advanced Open Water\n\nIncluded items described in Trip Information and on Travel Form TRANSIT HOTELS: Not included, OVI can  Assist with booking\n<\/div><\/li><li id=\"field_65_194\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Trip Participation<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_194'><li class='gchoice gchoice_65_194_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.1' type='checkbox'  value='Double Occupancy'  id='choice_65_194_1'   aria-describedby=\"gfield_description_65_194\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_65_194_1' id='label_65_194_1' class='gform-field-label gform-field-label--type-inline'>Double Occupancy<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_194_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_194.2' type='checkbox'  value='Single Occupancy (Limited and Single Supplement Required)'  id='choice_65_194_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_194_2' id='label_65_194_2' class='gform-field-label gform-field-label--type-inline'>Single Occupancy (Limited and Single Supplement Required)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_194'>All prices per person, discounted for cash & Club*. Prices shown on invoice. Accommodations are sold on first come first deposited basis. If the cabin you selected is not available, the next available cabin will be selected for you. Additionally, Increases in taxes, port fees, marine park fees are not included. There may also be a fuel surcharge allocated depending on fuel pricing at the time of the charter. Also, not included are - Airfare, tips for local dive staff, transit accommodations, meals, snacks and drinks while not on vessel, marine park fee, port fee, transfers between airport and vessel if not arriving with group, gift shop purchases, meals while not on-board, bar,  dive gear rentals and optional wi-fi access onboard. Local taxes and port fees must be paid in advance and are added to your final payment. . <\/div><\/li><li id=\"field_65_116\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_116'>Other Information<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_116' id='input_65_116' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_65_109\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">TRAVEL POLICY<\/h2><div class='gsection_description' id='gfield_description_65_109'>This 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.\n\nChecks must be made payable to Oceanic Ventures, Inc.. Final payments are due in full, one hundred eighty (180) days prior to the departure date.\nOn 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\nthe 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.\n\nTravel\/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.<\/div><\/li><li id=\"field_65_117\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Personal Information<\/h2><\/li><li id=\"field_65_118\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_118'>Name (please give full name as it appears on your passport)<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_118' id='input_65_118' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_196\" class=\"gfield gfield--type-address gfield--input-type-address gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_65_196' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_65_196_1_container' >\n                                        <input type='text' name='input_196.1' id='input_65_196_1' value=''    aria-required='true'    \/>\n                                        <label for='input_65_196_1' id='input_65_196_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_65_196_2_container' >\n                                        <input type='text' name='input_196.2' id='input_65_196_2' value=''     aria-required='false'   \/>\n                                        <label for='input_65_196_2' id='input_65_196_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_65_196_3_container' >\n                                    <input type='text' name='input_196.3' id='input_65_196_3' value=''    aria-required='true'    \/>\n                                    <label for='input_65_196_3' id='input_65_196_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_65_196_4_container' >\n                                        <input type='text' name='input_196.4' id='input_65_196_4' value=''      aria-required='true'    \/>\n                                        <label for='input_65_196_4' id='input_65_196_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_65_196_5_container' >\n                                    <input type='text' name='input_196.5' id='input_65_196_5' value=''    aria-required='true'    \/>\n                                    <label for='input_65_196_5' id='input_65_196_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_65_196_6_container' >\n                                        <select name='input_196.6' id='input_65_196_6'   aria-required='true'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_65_196_6' id='input_65_196_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><li id=\"field_65_197\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_197'>Mobile Phone<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_197' id='input_65_197' type='tel' value='' class='large'   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_199\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Will your mobile be available during your travel?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_199'><li class='gchoice gchoice_65_199_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_199.1' type='checkbox'  value='Yes - Internationally' checked='checked' id='choice_65_199_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_199_1' id='label_65_199_1' class='gform-field-label gform-field-label--type-inline'>Yes - Internationally<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_199_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_199.2' type='checkbox'  value='Yes - Domestically Only'  id='choice_65_199_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_199_2' id='label_65_199_2' class='gform-field-label gform-field-label--type-inline'>Yes - Domestically Only<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_199_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_199.3' type='checkbox'  value='Yes - Wifi Zone Only'  id='choice_65_199_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_199_3' id='label_65_199_3' class='gform-field-label gform-field-label--type-inline'>Yes - Wifi Zone Only<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_199_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_199.4' type='checkbox'  value='No, I am on vacation'  id='choice_65_199_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_199_4' id='label_65_199_4' class='gform-field-label gform-field-label--type-inline'>No, I am on vacation<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_65_198\" class=\"gfield gfield--type-phone gfield--input-type-phone gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_198'>Business Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_198' id='input_65_198' type='tel' value='' class='large'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_182\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_65_182_container'>\n                                <span id='input_65_182_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_182' id='input_65_182' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_65_182' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_65_182_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input class='' type='email' name='input_182_2' id='input_65_182_2' value=''    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                                    <label for='input_65_182_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><\/li><li id=\"field_65_193\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Travel Insurance<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_193'><li class='gchoice gchoice_65_193_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_193.1' type='checkbox'  value='Yes I already have travel insurance and I am attaching a copy of the policy.'  id='choice_65_193_1'   aria-describedby=\"gfield_description_65_193\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_65_193_1' id='label_65_193_1' class='gform-field-label gform-field-label--type-inline'>Yes I already have travel insurance and I am attaching a copy of the policy.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_193_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_193.2' type='checkbox'  value='I would like a quote for travel insurance. However, I understand that if I don&#039;t purchase travel insurance, I agree to the &quot;no&quot; terms below.'  id='choice_65_193_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_193_2' id='label_65_193_2' class='gform-field-label gform-field-label--type-inline'>I would like a quote for travel insurance. However, I understand that if I don't purchase travel insurance, I agree to the \"no\" terms below.<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_193_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_193.3' type='checkbox'  value='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.'  id='choice_65_193_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_193_3' id='label_65_193_3' class='gform-field-label gform-field-label--type-inline'>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.<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_193'>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 are unable or choose not to travel.<\/div><\/li><li id=\"field_65_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_23'>Diving Insurance Company &amp; Policy Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_65_23' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_25'>Other Health Insurance Carrier &amp; Policy Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_65_25' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_10\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_10'>Birthday<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_65_10' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_57'>Nationality<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_65_57' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_119\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Sex<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_119'>\n\t\t\t<li class='gchoice gchoice_65_119_0'>\n\t\t\t\t<input name='input_119' type='radio' value='Male'  id='choice_65_119_0'    \/>\n\t\t\t\t<label for='choice_65_119_0' id='label_65_119_0' class='gform-field-label gform-field-label--type-inline'>Male<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_119_1'>\n\t\t\t\t<input name='input_119' type='radio' value='Female'  id='choice_65_119_1'    \/>\n\t\t\t\t<label for='choice_65_119_1' id='label_65_119_1' class='gform-field-label gform-field-label--type-inline'>Female<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_65_12\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_12'>Passport Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_12' id='input_65_12' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_13\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_13'>Issued at<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_65_13' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_60'>Expiration Date<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_65_60' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_61\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_61'>Roommate Request (not guaranteed)<\/label><div class='ginput_container ginput_container_text'><input name='input_61' id='input_65_61' type='text' value='' class=''      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_120\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Room Configuration<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_120'>\n\t\t\t<li class='gchoice gchoice_65_120_0'>\n\t\t\t\t<input name='input_120' type='radio' value='Private\/Single (an extra charge will apply)'  id='choice_65_120_0'    \/>\n\t\t\t\t<label for='choice_65_120_0' id='label_65_120_0' class='gform-field-label gform-field-label--type-inline'>Private\/Single (an extra charge will apply)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_120_1'>\n\t\t\t\t<input name='input_120' type='radio' value='One Bed\/Bunk'  id='choice_65_120_1'    \/>\n\t\t\t\t<label for='choice_65_120_1' id='label_65_120_1' class='gform-field-label gform-field-label--type-inline'>One Bed\/Bunk<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_120_2'>\n\t\t\t\t<input name='input_120' type='radio' value='Two Beds\/Bunks'  id='choice_65_120_2'    \/>\n\t\t\t\t<label for='choice_65_120_2' id='label_65_120_2' class='gform-field-label gform-field-label--type-inline'>Two Beds\/Bunks<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_65_62\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_62'>Dietary Request (not guaranteed)<\/label><div class='ginput_container ginput_container_text'><input name='input_62' id='input_65_62' type='text' value='' class=''      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_24\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_24'>Event or Celebration during the trip?<\/label><div class='ginput_container ginput_container_text'><input name='input_24' id='input_65_24' type='text' value='' class=''      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_65'>T-Shirt Size<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_65_65' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_66'>Polo Shirt Size<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_65_66' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_63\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_63'>Frequent Flyer Number &amp; Airline<\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_65_63' type='text' value='' class=''  aria-describedby=\"gfield_description_65_63\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_65_63'>Frequent Flyer Number (all attempts will be made to include number but client is responsible to make sure\nnumber is on system at time of check in. Bring card to the airport.)<\/div><\/li><li id=\"field_65_64\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_64'>Airline Seating Request (not guaranteed)<\/label><div class='ginput_container ginput_container_text'><input name='input_64' id='input_65_64' type='text' value='' class=''      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_126\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Payment Information<\/h2><div class='gsection_description' id='gfield_description_65_126'>Initial Deposit is $1,500 at time of booking, One-Half of total payment is due six 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).<\/div><\/li><li id=\"field_65_132\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">DIVING EXPERIENCE<\/h2><\/li><li id=\"field_65_133\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Certified Diver?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_133'>\n\t\t\t<li class='gchoice gchoice_65_133_0'>\n\t\t\t\t<input name='input_133' type='radio' value='Yes'  id='choice_65_133_0'    \/>\n\t\t\t\t<label for='choice_65_133_0' id='label_65_133_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_133_1'>\n\t\t\t\t<input name='input_133' type='radio' value='No'  id='choice_65_133_1'    \/>\n\t\t\t\t<label for='choice_65_133_1' id='label_65_133_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_65_134\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_134'>Highest Diving Certification Level<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_134' id='input_65_134' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_27\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_27'>Certification Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_27' id='input_65_27' type='text' value='' class=''     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_135\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_135'>Certification Agency<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_135' id='input_65_135' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_136\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_136'>Diving History Approximate Number of Dives<\/label><div class='ginput_container ginput_container_text'><input name='input_136' id='input_65_136' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_137\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_137'>How Many Dives in past 12 months<\/label><div class='ginput_container ginput_container_text'><input name='input_137' id='input_65_137' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_138\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_138'>Date of Last Dive<\/label><div class='ginput_container ginput_container_text'><input name='input_138' id='input_65_138' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_29\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_29'>Do you need any special dive equipment for this trip?<\/label><div class='ginput_container ginput_container_text'><input name='input_29' id='input_65_29' type='text' value='' class=''  aria-describedby=\"gfield_description_65_29\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_65_29'>Indicate what equipment<\/div><\/li><li id=\"field_65_139\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Emergency Contact Information<\/h2><\/li><li id=\"field_65_144\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_144'>Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_144' id='input_65_144' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_143\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_143'>Relationship<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_143' id='input_65_143' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_140\" class=\"gfield gfield--type-text gfield--input-type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_140'>Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_140' id='input_65_140' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_142\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_142'>Other Phone Number<\/label><div class='ginput_container ginput_container_text'><input name='input_142' id='input_65_142' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_65_166\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Other Information<\/h2><\/li><li id=\"field_65_167\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Are you a member of Club Aquarius?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_167'>\n\t\t\t<li class='gchoice gchoice_65_167_0'>\n\t\t\t\t<input name='input_167' type='radio' value='Yes'  id='choice_65_167_0'    \/>\n\t\t\t\t<label for='choice_65_167_0' id='label_65_167_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_167_1'>\n\t\t\t\t<input name='input_167' type='radio' value='No'  id='choice_65_167_1'    \/>\n\t\t\t\t<label for='choice_65_167_1' id='label_65_167_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_167'>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\/<\/div><\/li><li id=\"field_65_168\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like to utilize our VIP Diver\u2019s Packing Service (your dive equipment packed and weighed ready to go)?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_168'>\n\t\t\t<li class='gchoice gchoice_65_168_0'>\n\t\t\t\t<input name='input_168' type='radio' value='Yes'  id='choice_65_168_0'    \/>\n\t\t\t\t<label for='choice_65_168_0' id='label_65_168_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_168_1'>\n\t\t\t\t<input name='input_168' type='radio' value='No'  id='choice_65_168_1'    \/>\n\t\t\t\t<label for='choice_65_168_1' id='label_65_168_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_168'>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.<\/div><\/li><li id=\"field_65_169\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like to utilize our VIP Diver\u2019s Cleaning Service (your dive equipment cleaned, dried and repacked)?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_169'>\n\t\t\t<li class='gchoice gchoice_65_169_0'>\n\t\t\t\t<input name='input_169' type='radio' value='Yes'  id='choice_65_169_0'    \/>\n\t\t\t\t<label for='choice_65_169_0' id='label_65_169_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_169_1'>\n\t\t\t\t<input name='input_169' type='radio' value='No'  id='choice_65_169_1'    \/>\n\t\t\t\t<label for='choice_65_169_1' id='label_65_169_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_169'>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.<\/div><\/li><li id=\"field_65_171\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Would you like to utilize our VIP Diver\u2019s Shipping Service (your dive equipment delivered to your destination)?<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_65_171'>\n\t\t\t<li class='gchoice gchoice_65_171_0'>\n\t\t\t\t<input name='input_171' type='radio' value='Yes'  id='choice_65_171_0'    \/>\n\t\t\t\t<label for='choice_65_171_0' id='label_65_171_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_65_171_1'>\n\t\t\t\t<input name='input_171' type='radio' value='No'  id='choice_65_171_1'    \/>\n\t\t\t\t<label for='choice_65_171_1' id='label_65_171_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_65_171'>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.<\/div><\/li><li id=\"field_65_173\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Would you like to take a continuing education course from us on this trip? If so what would you like to take?<\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_65_173'><li class='gchoice gchoice_65_173_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.1' type='checkbox'  value='Night Diving'  id='choice_65_173_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_1' id='label_65_173_1' class='gform-field-label gform-field-label--type-inline'>Night Diving<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.2' type='checkbox'  value='Boat Diving'  id='choice_65_173_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_2' id='label_65_173_2' class='gform-field-label gform-field-label--type-inline'>Boat Diving<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.3' type='checkbox'  value='Navigation'  id='choice_65_173_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_3' id='label_65_173_3' class='gform-field-label gform-field-label--type-inline'>Navigation<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.4' type='checkbox'  value='Search &amp; Recovery'  id='choice_65_173_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_4' id='label_65_173_4' class='gform-field-label gform-field-label--type-inline'>Search &amp; Recovery<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.5' type='checkbox'  value='Deep Diving'  id='choice_65_173_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_5' id='label_65_173_5' class='gform-field-label gform-field-label--type-inline'>Deep Diving<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.6' type='checkbox'  value='Wreck Diving'  id='choice_65_173_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_6' id='label_65_173_6' class='gform-field-label gform-field-label--type-inline'>Wreck Diving<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.7' type='checkbox'  value='Stress Rescue'  id='choice_65_173_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_7' id='label_65_173_7' class='gform-field-label gform-field-label--type-inline'>Stress Rescue<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_8'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.8' type='checkbox'  value='Under Water Photography'  id='choice_65_173_8'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_8' id='label_65_173_8' class='gform-field-label gform-field-label--type-inline'>Under Water Photography<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_9'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.9' type='checkbox'  value='Dry Suit'  id='choice_65_173_9'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_9' id='label_65_173_9' class='gform-field-label gform-field-label--type-inline'>Dry Suit<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_11'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.11' type='checkbox'  value='Rebreather Course'  id='choice_65_173_11'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_11' id='label_65_173_11' class='gform-field-label gform-field-label--type-inline'>Rebreather Course<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_12'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.12' type='checkbox'  value='Wreck Penetration'  id='choice_65_173_12'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_12' id='label_65_173_12' class='gform-field-label gform-field-label--type-inline'>Wreck Penetration<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_13'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.13' type='checkbox'  value='Normoxic Trimix'  id='choice_65_173_13'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_13' id='label_65_173_13' class='gform-field-label gform-field-label--type-inline'>Normoxic Trimix<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_65_173_14'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_173.14' type='checkbox'  value='Trimix'  id='choice_65_173_14'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_65_173_14' id='label_65_173_14' class='gform-field-label gform-field-label--type-inline'>Trimix<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_65_174\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_174'>Additional Information:<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_174' id='input_65_174' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_65_121\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Please attach\/upload copies of your passport, certification card, diving insurance card and your health insurance card.<\/h2><\/li><li id=\"field_65_125\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_125'>Passport<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_125' id='input_65_125' type='file' class='medium' aria-describedby=\"gfield_upload_rules_65_125 gfield_description_65_125\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_125'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_65_125'><\/div> <\/div><div class='gfield_description' id='gfield_description_65_125'>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.<\/div><\/li><li id=\"field_65_190\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_65_190'>Other Immigration Documentation<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_65_190' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_65_190&quot;,&quot;container&quot;:&quot;gform_multifile_upload_65_190&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_65_190&quot;,&quot;filelist&quot;:&quot;gform_preview_65_190&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/?gf_page=c74539d5c472f6b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;1073741824b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:65,&quot;field_id&quot;:190,&quot;_gform_file_upload_nonce_65_190&quot;:&quot;86f1005e82&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_65_190&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_65_190' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_65_190' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_65_190 gfield_description_65_190\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_190'>Max. file size: 1 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_65_190'><\/ul> <div id='gform_preview_65_190' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_65_190'>If applicable, please upload a copy of your green card, visa or other documentation.<\/div><\/li><li id=\"field_65_124\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_124'>Dive Certification Card<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_124' id='input_65_124' type='file' class='medium' aria-describedby=\"gfield_upload_rules_65_124 gfield_description_65_124\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_124'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_65_124'><\/div> <\/div><div class='gfield_description' id='gfield_description_65_124'>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.<\/div><\/li><li id=\"field_65_123\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_123'>Diving Insurance Card<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_123' id='input_65_123' type='file' class='medium' aria-describedby=\"gfield_upload_rules_65_123 gfield_description_65_123\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_123'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_65_123'><\/div> <\/div><div class='gfield_description' id='gfield_description_65_123'>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\/\n<\/div><\/li><li id=\"field_65_122\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_65_122'>Health Insurance Card<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='1073741824' \/><input name='input_122' id='input_65_122' type='file' class='medium' aria-describedby=\"gfield_upload_rules_65_122\" onchange='javascript:gformValidateFileSize( this, 1073741824 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_122'>Max. file size: 1 GB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_65_122'><\/div> <\/div><\/li><li id=\"field_65_191\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_65_191'>Travel Insurance Policy<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_65_191' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_65_191&quot;,&quot;container&quot;:&quot;gform_multifile_upload_65_191&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_65_191&quot;,&quot;filelist&quot;:&quot;gform_preview_65_191&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/?gf_page=c74539d5c472f6b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;1073741824b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:65,&quot;field_id&quot;:191,&quot;_gform_file_upload_nonce_65_191&quot;:&quot;fb3b9684f1&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_65_191&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_65_191' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_65_191' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_65_191 gfield_description_65_191\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_191'>Max. file size: 1 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_65_191'><\/ul> <div id='gform_preview_65_191' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_65_191'>We highly recommend trip insurance; If you have already purchased travel insurance, please send us a copy of the certificate. As with most small liveaboard operations, cancellations are more of an issue so they have limited ability to fill unused spaces. We always recommend trip insurance to help avoid any unnecessary problems. There are no refunds for missed flights or changes in plans. Travel Insurance (ie: comprehensive accident, medical, baggage and trip cancellation and interruption insurance) purchased at the time their reservation is made, may help protect guests from financial disappointment if they are prevented from making their scheduled trip due to illness or family illness, or in the event that unforeseen circumstances prevent the airline or yacht from making its scheduled trip. If you need travel insurance, you may find the appropriate links here - https:\/\/oceanicventures.com\/travel-insurance\/<\/div><\/li><li id=\"field_65_192\" class=\"gfield gfield--type-fileupload gfield--input-type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='gform_browse_button_65_192'>Traveling with Minors Documentation<\/label><div class='ginput_container ginput_container_fileupload'><div id='gform_multifile_upload_65_192' data-settings='{&quot;runtimes&quot;:&quot;html5,flash,html4&quot;,&quot;browse_button&quot;:&quot;gform_browse_button_65_192&quot;,&quot;container&quot;:&quot;gform_multifile_upload_65_192&quot;,&quot;drop_element&quot;:&quot;gform_drag_drop_area_65_192&quot;,&quot;filelist&quot;:&quot;gform_preview_65_192&quot;,&quot;unique_names&quot;:true,&quot;file_data_name&quot;:&quot;file&quot;,&quot;url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/?gf_page=c74539d5c472f6b&quot;,&quot;flash_swf_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.flash.swf&quot;,&quot;silverlight_xap_url&quot;:&quot;https:\\\/\\\/oceanicventures.net\\\/travel_forms\\\/wp-includes\\\/js\\\/plupload\\\/plupload.silverlight.xap&quot;,&quot;filters&quot;:{&quot;mime_types&quot;:[{&quot;title&quot;:&quot;Allowed Files&quot;,&quot;extensions&quot;:&quot;*&quot;}],&quot;max_file_size&quot;:&quot;1073741824b&quot;},&quot;multipart&quot;:true,&quot;urlstream_upload&quot;:false,&quot;multipart_params&quot;:{&quot;form_id&quot;:65,&quot;field_id&quot;:192,&quot;_gform_file_upload_nonce_65_192&quot;:&quot;e998a28f7b&quot;},&quot;gf_vars&quot;:{&quot;max_files&quot;:0,&quot;message_id&quot;:&quot;gform_multifile_messages_65_192&quot;,&quot;disallowed_extensions&quot;:[&quot;php&quot;,&quot;asp&quot;,&quot;aspx&quot;,&quot;cmd&quot;,&quot;csh&quot;,&quot;bat&quot;,&quot;html&quot;,&quot;htm&quot;,&quot;hta&quot;,&quot;jar&quot;,&quot;exe&quot;,&quot;com&quot;,&quot;js&quot;,&quot;lnk&quot;,&quot;htaccess&quot;,&quot;phar&quot;,&quot;phtml&quot;,&quot;ps1&quot;,&quot;ps2&quot;,&quot;php3&quot;,&quot;php4&quot;,&quot;php5&quot;,&quot;php6&quot;,&quot;py&quot;,&quot;rb&quot;,&quot;tmp&quot;]}}' class='gform_fileupload_multifile'>\n\t\t\t\t\t\t\t\t\t\t<div id='gform_drag_drop_area_65_192' class='gform_drop_area gform-theme-field-control'>\n\t\t\t\t\t\t\t\t\t\t\t<span class='gform_drop_instructions'>Drop files here or <\/span>\n\t\t\t\t\t\t\t\t\t\t\t<button type='button' id='gform_browse_button_65_192' class='button gform_button_select_files gform-theme-button gform-theme-button--control' aria-describedby=\"gfield_upload_rules_65_192 gfield_description_65_192\"  >Select files<\/button>\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_65_192'>Max. file size: 1 GB.<\/span><ul class='validation_message--hidden-on-empty gform-ul-reset' id='gform_multifile_messages_65_192'><\/ul> <div id='gform_preview_65_192' class='ginput_preview_list'><\/div><\/div><div class='gfield_description' id='gfield_description_65_192'>For 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.<\/div><\/li><li id=\"field_65_145\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">TRAVEL AND TOUR CONTRACTUAL LIABILITY RELEASE &amp; WAIVER - THIS IS A RELEASE OF YOUR RIGHTS TO SUE<\/h2><\/li><li id=\"field_65_149\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_149'>1. 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. <\/div><\/li><li id=\"field_65_148\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_148'>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. <\/div><\/li><li id=\"field_65_147\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_147'>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. <\/div><\/li><li id=\"field_65_146\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_146'> 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. <\/div><\/li><li id=\"field_65_151\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_151'>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. <\/div><\/li><li id=\"field_65_150\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\"><\/h2><div class='gsection_description' id='gfield_description_65_150'> 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.<\/div><\/li><li id=\"field_65_156\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Model &amp; Property Release<\/h2><div class='gsection_description' id='gfield_description_65_156'>By 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,\nInc., Square Rig Photography, Eric V. Keibler and\/or Ann Y. 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