CE At Sea Cruise

CE at Sea Reservation Form

"*" indicates required fields

Step 1 of 7

Thank you for your interest in the 2026 Continuing Education Cruise!

This form will gather all the necessary details to process your quote request. Before you begin, please ensure you have the names and birthdays of each person in your cabin. If you don’t yet know who the additional guests will be, you can enter “TBD” for their names and provide placeholder information.

Once you complete the registration form, your card will be charged and your reservation created. Reservation information will be sent to you within two business day of completing this form.

Contact Information

Contact Name

Phone

Licensed State

Please select the State you are licensed in*

Primary Guest

Name (As it appears on your passport)*

IMPORTANT: This is the name we will use when making your reservation. If it does not match what is on your passport you will be denied boarding.

First/Given Name

Last/Surname

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone*

Primary Email*

Birthday*

T-Shirt Size*

I am a*

License type*

Brokerage*

State Licensed In*

Agent Type*

Guest 2

Name (As it appears on your passport)*

IMPORTANT: This is the name we will use when making the reservation. If it does not match what is on the guests passport they will be denied boarding.

First/Given Name

Last/Surname

Use same address as Guest 1?

Yes

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone*

Primary Email*

Birthday*

T-Shirt Size*

Guest is a*

License type*

Brokerage*

State Licensed In*

Agent Type*

Guest 3

Name (As it appears on your passport)*

IMPORTANT: This is the name we will use when making the reservation. If it does not match what is on the guests passport they will be denied boarding.

First/Given Name

Last/Surname

Use same address as Guest 1?

Yes

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone*

Primary Email*

Birthday*

T-Shirt Size*

Guest is a*

License type*

Brokerage*

State Licensed In*

Agent Type*

Guest 4

Name (As it appears on your passport)*

IMPORTANT: This is the name we will use when making the reservation. If it does not match what is on the guests passport they will be denied boarding.

First/Given Name

Last/Surname

Use same address as Guest 1?

Yes

Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country

Phone*

Primary Email*

Birthday*

T-Shirt Size*

Guest is a*

License type*

Brokerage*

State Licensed In*

Agent Type*

Additional Details

Comments, special needs, etc.

CE at Sea Reservation Form

Contact Information

Licensed State

Sailing Information

Cabin Selection

Primary Guest

Guest 2

Guest 3

Guest 4

Additional Details

Package Amenities

Terms and Conditions

Travel Protection

Checkout

Payment Information