Full Name (required)

Your Email (required)

Please Confirm Your Email (required)

Contact Number

Arrival Date in Antigua (required)

Departure Date from Antigua (required)

Number of Snorkelers (required)
123456789101112

Age of Snorkelers (required)

Tour Type (required)
Group Tour $99Private Tour

Address While in Antigua (required)

Room Number

Your Preferred Tour Date

label> Your Preferred Tour Session
9 am (Morning session)2 pm (Afternoon session)

*Please give us an idea of your Swimming And snorkeling experience in order for us to better serve you. Please state previous snorkeling excursions you have been on; any information you think will be helpful to give us an advantage in assessing you.

Snorkeling Experience (required)

*Please Answer the following question truthfully, remember safety is first in all that we do, help us help you by knowing what to expect.

Medical Conditions if no medical conditions select "none" (required)
---NoneAsthmaHeart DiseaseLung DiseaseEpilepsyDiabetesArthritisDyspneaOthers

If Other medical conditions, please state

Agreement (required)
I declare all the information I have provided regarding my (our) medical condition(s) are true. (Please note, medical conditions do not mean we won't take you on a tour, it gives us an advantage in keeping you safe)

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