Cruise intake form

Sailing

Which sailing are you signing up for?

Other sailings — please answer each:

Will you also be on Brilliant Lady 7/16/26?

Yes No

Will you also be on Brilliant Lady 8/13/26?

Yes No

Cruise history

Have you voyaged with Virgin Voyages before?

Yes No

Have you voyaged with Vegas Matt on Virgin Voyages before?

Yes No

Your information

First name

Last name

Date of birth

Phone

Address

Citizenship

Second sailor

Is someone else joining you?

Yes No Maybe — please add a placeholder to the reservation Maybe — please do not add a second sailor at this time

Has your second sailor sailed with Virgin Voyages before?

Yes No

First name

Last name

Date of birth

Citizenship

Casino offer

Do you have a casino offer to submit?

Yes No

Describe your offer

Upload a screenshot of your offer

Almost done

How did you hear about this voyage?

I confirm the information above is accurate