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The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Inside Stateroom - Single Occupancy —

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		<field type="header" subtype="h1" label="Roommate Information:"/>&#13;
		<field type="text" label="Name of Roommate" placeholder="Both ladies in the same stateroom must select the same drink package" name="name-of-roommate" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Information Required to Secure Booking"/>&#13;
		<field type="text" required="true" label="First name (Legal Name as shown on ID)" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Sex" name="gender">&#13;
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		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Address (must match your travel documents)"/>&#13;
		<field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cruise History"/>&#13;
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		<field type="checkbox-group" required="true" label="Do you have an MSC Voyagers Club number?" description="MSC Voyagers Club is a free loyalty rewards program" name="do-you-have-an-msc-voyagers-club-number">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="No, please sign me up!" value="no-please-sign-me-up">No, please sign me up!</option>&#13;
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		<field type="text" label="Provide your MSC Voyagers Club&amp;nbsp; number, if you have one" placeholder="MSC Voyagers Club #" name="text-1737583905746" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Insurance"/>&#13;
		<field type="checkbox-group" required="true" label="Do you want to receive a travel insurance quote?" name="do-you-want-to-receive-a-travel-insurance-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
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		<field type="header" subtype="h1" label="Anything else?"/>&#13;
		<field type="textarea" label="Is there anything else you&#39;d like me to know?" description="Any dietary restrictions   allergies   medical needs, or need for handicapped accessible room? etc." name="is-there-anything-else-youd-like-me-to-know" className="form-control"/>&#13;
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<html>
  <body>
    <form-template>&#13;
	<fields>&#13;
		<field type="header" subtype="h1" label="Roommate Information:"/>&#13;
		<field type="text" label="Name of Roommate" placeholder="Both ladies in the same stateroom must select the same drink package" name="name-of-roommate" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Information Required to Secure Booking"/>&#13;
		<field type="text" required="true" label="First name (Legal Name as shown on ID)" name="first-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Last name" name="last-name" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Preferred name (nickname)" name="preferred-name" subtype="text" className="form-control"/>&#13;
		<field type="radio-group" required="true" label="Sex" name="gender">&#13;
			<option label="F" value="female">F</option>&#13;
			<option label="M" value="male">M</option>&#13;
		</field>&#13;
		<field type="date" required="true" label="Date of birth" name="birthday" className="form-control"/>&#13;
		<field type="text" required="true" label="Country of Residence" name="text-1737584103698" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Email address" name="email" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="phone-number" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Address (must match your travel documents)"/>&#13;
		<field type="text" required="true" label="Address Line 1" name="address-line-1" subtype="text" className="form-control"/>&#13;
		<field type="text" label="Line 2" name="address-line-2" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="City" name="address-city" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="State" name="address-state" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Zip" name="address-zip" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Country" name="address-country" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Emergency Contact Information"/>&#13;
		<field type="text" required="true" label="Full name" name="emergency-contact-full-name" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Phone number" name="emergency-contact-phone-number" subtype="text" className="form-control"/>&#13;
		<field type="text" required="true" label="Relationship to you" name="emergency-contact-relationship" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Cruise History"/>&#13;
		<field type="checkbox-group" required="true" label="Is This Your 1st Cruise?" name="is-this-your-1st-cruise">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="checkbox-group" required="true" label="Do you have an MSC Voyagers Club number?" description="MSC Voyagers Club is a free loyalty rewards program" name="do-you-have-an-msc-voyagers-club-number">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
			<option label="No, please sign me up!" value="no-please-sign-me-up">No, please sign me up!</option>&#13;
		</field>&#13;
		<field type="text" label="Provide your MSC Voyagers Club&amp;nbsp; number, if you have one" placeholder="MSC Voyagers Club #" name="text-1737583905746" subtype="text" className="form-control"/>&#13;
		<field type="header" subtype="h1" label="Travel Insurance"/>&#13;
		<field type="checkbox-group" required="true" label="Do you want to receive a travel insurance quote?" name="do-you-want-to-receive-a-travel-insurance-quote">&#13;
			<option label="Yes" value="yes">Yes</option>&#13;
			<option label="No" value="no">No</option>&#13;
		</field>&#13;
		<field type="header" subtype="h1" label="Anything else?"/>&#13;
		<field type="textarea" label="Is there anything else you&#39;d like me to know?" description="Any dietary restrictions   allergies   medical needs, or need for handicapped accessible room? etc." name="is-there-anything-else-youd-like-me-to-know" className="form-control"/>&#13;
	</fields>&#13;
</form-template>
  </body>
</html>

Continue to traveler info

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Final payment of $557.00 is due on October 26, 2025

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The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Inside Stateroom - Single Occupancy —

—

Total —

Due now —

Continue to traveler info

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The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Inside Stateroom - Single Occupancy —

—

Total —

Due now —

Continue to traveler info

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit

Final payment of $557.00 is due on October 26, 2025

$0.00

Authorize full amount

$557.00

The Well Cruise 2026

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Select travelers

Select your package

Enter traveler information

Primary Traveler

INCOMPLETE

Credit Card Authorization

Authorize deposit Final payment of $557.00 is due on October 26, 2025

$0.00

Authorize full amount

$557.00

The Well Cruise 2026

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

The Well Cruise 2026

Feb 26, 2026 to Mar 1, 2026

3 Night Bahamas Cruise

Authorize deposit

Final payment of $557.00 is due on October 26, 2025