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A Private Retreat At Sea
Raja Ampat, Indonesia | 15th - 21st October, 2026.Registration Form
Full Name*
Email Address*
Mobile Number (With Country Code)*
Date of Birth (MM/DD/YYYY)*
Nationality*
City & Country of Residence*
Are you signing up as:*
A Solo Traveller
Two Guests Sharing a Stateroom
If you are traveling as a pair, please provide their name below:
Are you a certified Scuba Diver?*
Yes
No
Note: Both certified and non-certified divers are welcome. Experiences will be curated accordingly.
If Yes, please specify your certification level:
Select Your Preferred Stateroom:*
Payment Terms
25% non-refundable deposit required at booking to confirm your seat(s)
Further 20% payable by 30 April 2025 (total 50%)
Final 50% payable 75 days prior to departure
Cancellation Policy (Departure: October 14, 2026)Cancellations made:
On or before June 16, 2026: 25% of the cost is forfeited.
After June 16, 2026 and on or before July 31, 2026: 50% of the cost is forfeited.
On or after August 1, 2026: 100% of trip cost is forfeited.
When you submit, you confirm that you will make the 25% non-refundable deposit payment within 7 days of submitting this form. If signing up as two guests sharing a stateroom, your total amount due will include both guests.
I have read and acknowledged the above payment, cancellation and confirmation terms.
Read & acknowledge the following:
Further 25% payable by 30th April 2025 (total 50%)
Final 50% payable 75 days prior to departure.
Cancellation Policy
Final Confirmation: When you submit, you confirm that you will make the 25% non-refundable deposit payment within 7 days of submitting this form. If signing up as two guests sharing a stateroom, your total amount due will include both guests.
Submit
Date of Birth*
If traveling as a pair, please provide your guest's name below:
Cancellation Policy (Departure: October 14, 2026)
