Odyssey-Expeditions-Voyage-Application by csgirla


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									                                    Odyssey Expeditions Voyage Application
•Berths are limited and voyages often fill quickly, please reserve as early as possible after planning your trip.
•Call us at 800-929-7749 or (352)400-4076 to check on voyage availability.
•Reserve your berth by paying the $1000 deposit with Visa or Mastercard by phone or online, or by enclosing a check with this completed application.
•Berths are only secured upon receipt of deposit.
•Complete this application and attach a recent photo or apply online at www.odysseyexpeditions.com
•Carefully read and sign our Terms and Agreements on the back of this application.
•Send your application to: Odyssey Expeditions 987 North Suncoast Blvd #100 Crystal River, FL 34429
•Upon receipt of your application, we will confirm your reservation, answer any remaining questions and send you a packet of forms for your voyage.
•Once confirmed, make travel arrangements with the Moorings Travel desk at 800-535-7289. Consult odysseyexpeditions.com/airtravel for details.
•Plan to arrive in the afternoon on the start date and depart early the morning on the end date.
•IMPORTANT: Please be sure both applicant and parent/guardian complete and sign the back of this application. PLEASE TURN OVER

Participant general information                                                                                                              Payment Information
                                                                                                                                             You may pay deposits and balance by
                                                                                                                                             check made payable to Odyssey
                                                                                                                                             Expeditions or by credit card.
First Name                                          Last Name                                      1st Voyage Choice     2nd Voyage Choice
                                                                                                                                             Tuition does not include airfare,
                                                                                                                                             personal scuba training books,
Home Address                                        City                                           State       Zip                           extraordinary transfers or personal
                                                                                                                                             spending money. All non-personal
Participant lives with:                                                                                                                      equipment necessary is provided.
   Both      Mother      Father   Other
                                          Home Phone                       Cell Phone                          Participants Email Address    Tuition stated represents a 3%
                                                                                                                                             cach/check discount, payments made
                                                                                                                                             by credit card will be 3% higher. You
                                                                                                                                             may sign up to have your credit card
Father or Guardian’s Name                           Father’s Work Phone    Occupation                          Father’s Email Address        charged on 04/01 for the remaining
                                                                                                                                             balance due after deposit.

Mother or Guardian’s Name                           Mother’s Work Phone Occupation                             Mother’s Email Address        Any participant signing up for two BVI
                                                                                                                                             Adventure voyages receives a 5%
                                                                                                                                             discount on the second voyage tuition.
                                                                                                                                             Families enrolling more than one
Birthdate (Month / Day / Year)            Sex       Current grade          School                              Major (if applicable)         participant receive a 5%tuition discount
                                                                                                                                             for subsequent enrollments.

                                                                                                                                             Tuition balance due April 1st, if
History of asthma or respiratory problems?          History of sinus or ear problems?              Special dietary needs or allergies?       enrolling after April 1st, full tuition is
                                                                                                                                             due at time of enrollment. Failure to
                                                                                                                                             provide payment by April 8th will
Weight                                    Height                           T-Shirt Size (S, M, L, XL)          Shoe Size                     subject the berth to cancellation
                                                                                                                                             without refund. A late payment/
Scuba Experience (if Any)                                                                                                                    paperwork fee of $50 will be
   None       Referral       Certified                                                                                                       assessed.
                                          Number of dives                  Certification level                 Certification agency

                                                                                                                                             Please bill this Visa          Mastercard
How did you find out about Odyssey Expeditions (please be as specific as possible)                                                           for: $1000 deposit +         balance 04/01

Do you know of others who may like to go on an odyssey expeditions voyage?
Receive a $100 tuition credit for any listed referrals who sign up for a voyage.                                                             Card Number                 Expiration Date

Name                                      Address                          City                  State         Zip               Phone       Cardholder Name (please print)

Name                                      Address                          City                  State         Zip               Phone       Signature

Adventure Voyages in the British Virgin Islands
Voyages feature sailing, scuba diving, PADI scuba training, marine biology, island exploration, water sports and 5-7 hours environmental service. Voyages sail
round trip out of Roadtown Tortola, BVI. Voyages include two major scuba certifications (Open Water and Advanced or Advanced and Rescue) plus take your
choices from a broad range of PADI specialties including Night, Wreck, Digital Underwater Photography, Marine Biology, Fish-ID, Deep, Computer, Navigation,
Coral Reef Conservation and Naturalist.
Tuition $5290 for 21-day Advanced Adventure Voyages, $4990 for 21-day Discovery and Adventure Pro Voyages
     Discovery                              Advanced Adventure                          Adventure Pro                            June 15 - July 5
     No experience required, min            Prerequisite Open Water certified,          Prerequisite Rescue certified,
     age 13. Earn PADI Open Water           min age 13. Earn PADI Advanced              min age 18. Earn PADI Pro                July 7 - July 27*Adventure Pro
                                                                                                                                                   not offered
     & Advanced plus specialties            & Rescue plus specialties                   Divemaster plus specialties              July 29 - Aug 18

S.E.A. Voyages ‘Service, Education, & Adventure’ in the Eastern Caribbean’s Windward Islands
Voyages feature sailing, scuba diving, PADI scuba training, marine biology, island exploration, water sports, and up to 20 hours environmental service
component. Voyages sail round-trip out of St Lucia on separate but combinable northbound and southbound itineraries. Open water certification (from any
scuba certification agency) required, or arrive with a PADI referral (PADI only, no other scuba agency referrals accepted ) and complete the open water
certification dives upon arrival. Earn PADI Advanced, Marine Biology, Night, and Wreck Diver scuba certifications. Minimum age 14.
Tuition $3990 for a 14-day voyage or $6990 for combined North SEA and South SEA 28-day voyage (for 28-day voyage, choose any two concurrent dates)
North S.E.A.                                                                                     South S.E.A.
Explores St. Lucia and Martinique.                                                               Explores St. Lucia, St. Vincent, and the Grenadines.
Service and educational focus: Corals, invertebrates and marine mammals.                         Service and educational focus: Coral Reef Fishes and sea turtles.
      June 20 - July 3                                 July 20 - August 2                                  July 5 - July 18                      Aug 3 - Aug 16

                                                       IMPORTANT: PLEASE TURN OVER AND COMPLETE BOTH SIDES
Terms of Agreement                                                                         Enrollment
                                                                                           A $1000 deposit is required to reserve a berth on an
                                                                                                                                                         Medical Treatment Release
                                                                                                                                                         Voyage participant and his or her parent/s authorize
                                                                                                                                                                                                                       to any injury, illness, loss, damage, accident, delay,
                                                                                                                                                                                                                       death, or other unforseen event regardless of the
                                                                                           Odyssey Expeditions Corp. (hereafter referred to in           Odyssey staff, directors, representatives, contractors        cause. Odyssey shall provide a full refund of deposit
                                                                                           these terms as ‘Odyssey’) voyage. The full tuition            or other medical personnel to arrange for any                 and tuition paid in the event of a voyage cancellation
                                                                                           balance is due April1st. If enrolling after April 1st, full   necessary medical treatment for participant, including        but shall have no other responsibility or obligation in
                                                                                           tuition is due at time of enrolment. Upon our receipt         hospitalization, injections, anesthesia, X-ray, blood         such event. The particular itinerary, equipment, staff,
                                                                                           of your application and deposit we will contact you to        transfusions or laboratory work, medications, or              activities, and destinations may be changed at any
                                                                                           confirm your reservation and will send a registration         surgery. Participant and parent/s agree that Odyssey          time by an Odyssey program director in the best
                                                                                           packet that contains a welcome letter and information         has no responsibility for medical care provided to the        interest of the program, and no notice of any changes
                                                                                           as well as forms that must be completed and signed by         participant, and participant and parent/s shall be fully      nor obligation to any party shall be made in the event
                                                                                           participant and participants parent/s or legal                responsible for the costs associated with all medical         of any such changes.
                                                                                           guardian/s (hereafter referred to collectively as             treatments or emergency services performed.
                                                                                           ‘parent/s’) and returned to Odyssey. These forms              Participant and parent/s understand that the medical          Liability Release
                                                                                           include a medical questionnaire, and an                       facilities and physicians may be located in countries         In consideration of Odyssey permitting participant on
                                                                                           Acknowledgment and Assumption of Risk and Release             with varying standards of care which may be primitive,        a voyage, participant and parent/s hereby release,
                                                                                           for voyage participation in sailing, scuba training, and      inadequate, or insufficient.                                  discharge and hold Odyssey, its directors, officers,
                                                                                           diving. They outline the risks associated with voyage                                                                       agents, employees, contractors, members and
                                                                                           activities and your responsibilities. Upon review of          Participant Understanding                                     invitees harmless from any and all liability for loss,
                                                                                           accepted and returned forms, Odyssey shall offer final        Odyssey’s voyages are a multi-faceted educational             damage, and expenses resulting from illness, injury to,
                                                                                           acceptance into a voyage. Participant and parent/s            experience with emphasis on sailing, scuba diving,            or death sustained by participant, and/or loss or
                                                                                           acknowledge that it is their responsibility to work with      and marine science as well as teamwork and                    damage to participants property, arising directly or
                                                                                           their physician to decide whether Odyssey voyages             leadership development. Participants must expect to           indirectly out of voyage activity participation
                                                                                           and activities are appropriate for the participant.           be part of the crew upon arrival, and fully participate in    (including, but not limited to SCUBA diving, sailing,
                                                                                           Exercise induced asthma and other physical                    all aspects of running the yacht, ready to share in the       sea kayaking, water-skiing, hiking, and transport by
                                                                                           limitations are a contra-indication to scuba diving.          work of dive preparation, science activities, sailing,        plane, auto, boat, and foot). Participant and parent/s
                                                                                                                                                         cleaning, and meal preparation. Crew rotate                   hereby fully acknowledge understanding that all of the
                                                                                           Tuition                                                       onboard job positions daily, contributing positively to       foregoing activities contain true potential risks that
                                                                                           Odyssey voyage tuition covers all program expenses            the group experience. Evenings are largely devoted to         could result in illness, injury, or death due to a variety
                                                                                           including educational programs in biology, PADI               program activities aboard. Participants are expected          of causes including the forces of nature, fire,
                                                                                           scuba training and certifications, use of scuba and           to be positive, motivated, and physically and mentally        negligence and any other unforseen events at any time
                                                                                           program equipment, watersports, food and berth                willing to fully participate in voyage activities and         en route to, from, and during a voyage. Participant
                                                                                           aboard the yacht, diving, and scheduled shore                 responsibilities. The program tone is that of non-            and parent/s assume full personal responsibility for all
                                                                                           excursions.      Airfare, optional meals/personal             competitive group support. Programs are geared for            risks of illness, injury, or death.
                                                                                           purchases/tours ashore, exceptional or unusual                both teens and college students. Yacht and berth
                                                                                           transfers, personal scuba training books, academic            assignments are based on age. Odyssey operates                Photo Release
                                                                                           credit, phone calls, and medical expenses are not             multiple yachts on each voyage and groups students            Permission is hereby given for Odyssey Expeditions
                                                                                           included. Any academic credit must be arranged                such that each yacht has a similar age range. Three to        Corp. and its designees to use for any reason any
                                                                                           separately with the accrediting institution. Failure to       four students of the same-sex are assigned to each            photographs/ statements/ articles/ music/ art/ video
                                                                                           ensure Odyssey’s receipt of full tuition payment by           cabin, and sleeping accommodations include                    taken of or produced by participant during a voyage.
    Please be sure you have read and signed this agreement before sending it to Odyssey.

                                                                                           April 8th may subject the berth to forfeiture. After          weatherproof hammocks and sleeping bags for
                                                                                           February 1st, deposit and tuition is non-refundable           sleeping on deck. Participants must understand that           This Agreement
                                                                                           and non-transferable, no tuition refunds shall be             the cleanliness of their cabins is their responsibility and   This terms of agreement is a contract that shall be
                                                                                           made in the event of your cancellation, non-arrival, or       that they will have specific duties to perform aboard         considered entered into in Florida and Florida law
                                                                                           dismissal for any reason. Due to the group dynamic            the vessel including sailing, cooking , and cleaning.         shall govern any action or proceedings brought
                                                                                           nature of the programs, any participant unable to             Voyages do not include maid or chef service.                  about, which shall only be brought in a Florida state
                                                                                           arrive within 48 hours of noon on the first day of a          Participants and staff share the responsibilities aboard      court of competent jurisdiction in Citrus County,
                                                                                           voyage shall be considered a cancellation and will not        and work together with mutual respect and courtesy.           Florida. All parties fully waive any rights to bring
                                                                                           be permitted on the voyage.                                   The program is ‘unplugged’, cell phones and                   about any action or proceeding in federal court and
                                                                                                                                                         personal entertainment devices (ie.ipods) are                 any right to a jury trial in any action under this contract
                                                                                           Early Return                                                  collected at the voyage start and returned at the end.        or resulting from it. If the federal court provision is
                                                                                           Participant and parent/s acknowledge that if the              The yachts are 'Dry' and 'Zero-Tolerance' is strictly         held invalid, any action or proceeding that is brought
                                                                                           participant must return home for any reason including         enforced. Participant is required to maintain an              about in federal court shall only be brought in the
                                                                                           medical or family reasons, personal emergency,                atmosphere of respect with the other participants and         District Court of the Middle District of Florida. Should
                                                                                           dismissal or other reasons not stated, participant and        staff and to keep their living environment healthy and        Odyssey or anyone acting on its behalf, be required to
                                                                                           parent/s shall be solely responsible for all costs            enjoyable for all. Participant hereby agrees to abide         incur attorney's fees and costs to enforce this
                                                                                           associated with early departure including evacuation,         by all the rules and regulations of Odyssey. Odyssey          agreement, participant and parent/s agree to
                                                                                           plane, taxi, or boat fares, accommodations and                reserves the right to dismiss any participant from the        indemnify and hold them harmless for all fees and
                                                                                           meals, and compensation for any staff that may                program that the staff believe to be a safety concern,        costs.      Participant and parent/s represent that
                                                                                           accompany participant. Participant and parent’s               medical risk, is disruptive, or behaves in a manner they      he/she/they has/have full authority to enroll the
                                                                                           understand that staff accompaniment for early return          consider to be detrimental to the program. Examples           participant and to authorize participation in activities
                                                                                           may not be possible for any part of their return itinerary    of behaviors that may be considered disruptive include        and medical care and to contract as aforesaid. If
                                                                                           and the return airports may differ.                           the use or possession of illegal drugs, tobacco or            Odyssey is at any time challenged or sued in any
                                                                                                                                                         alcohol, sexual activity, excessive homesickness, and         manner by the other parent/ custodian/ guardian of a
                                                                                           Insurance                                                     theft. Participant and parent/s understand that no            participant, the contracting parent/s agree to
                                                                                           All participants are required to carry dive accident          refund of deposit or tuition will be made upon                indemnify Odyssey from any and all liability in
                                                                                           insurance, such as that offered by Divers Alert network.      withdrawal from the program for any reason.                   connection with Odyssey’s performance under this
                                                                                           We recommend the purchase of Travel Insurance to                                                                            contract. If any element of this agreement shall be
                                                                                           protect your tuition investment and will provide              Responsibility Notice                                         deemed unenforceable, the remainder shall remain in
                                                                                           registration forms for recommended insurance.                 The directors and staff of Odyssey endeavor to make           effect. I understand that this contract is a release from
                                                                                           Parent/s understand that they are responsible for the         each voyage not only educational, but personally              liability for Odyssey and I hereby agree that this is a
                                                                                           full costs of any medical care or evacuations, even any       rewarding for its participants. Participant and               contract that shall be binding upon myself as well as
                                                                                           costs not covered by insurance. Also participant and          parent/s recognize that many factors are not within the       my family, heirs and administrators.                I fully
                                                                                           parent/s are responsible for Odyssey equipment and            control of Odyssey such as weather, government                comprehend and understand the contents of this
                                                                                           property participant uses while on the voyage and will        actions, mechanical failures, or force of nature.             contract and liability release and I sign it on my own
                                                                                           be required to reimburse Odyssey for any willful or           Odyssey acts as participants agent only and does not          free will. This contract will be valid when received and
                                                                                           accidental destruction or loss of said equipment.             assume any responsibility for participant with respect        accepted by Odyssey with the deposit.

                                                                                             Parent or Legal guardian Signature (required)                     Date                       Participant Signature (required)                                    Date

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