Cuba Passenger Registration Form Passenger DetailsAfter Submitting the form you will receive an invoice for your deposit. No spot is reserved until the deposit is received. Name (As Appears on Passport)* First Middle Last Birthdate* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Trip DetailsTrip Choice* Trip 1 (Jan 20-28 2025) Trip 2 (Jan 29-Feb 6 2025) ** Each passenger must fill out a separate registration form.Occupancy Choice* Single Occupancy Double Occupancy ** Each passenger must fill out a separate registration form.Brief Bio of each traveler*(Names, ages, relations, etc.)Dietary Restrictions* Are there any Medical needs we should be aware of?* Passport InfoPassport Number* Passport: Date of issue and expiration date* Upload: Color copy of passport*Max. file size: 50 MB.Emergency Contact: Name, Phone Number, & relationship (One per passenger)*Trip Fee Per Traveler (After Submitting the form you will be invoiced for your deposit.)**IMPORTANT: No spot is reserved until deposit is received.** Deposit $1,000. Trip fee per traveler (excluding deposit): TRIP 1: Single Occupancy $4,945, Double Occupancy $4,295 (per person) TRIP 2: Single Occupancy $4,245, Double Occupancy $3,795 (per person)Cancellation Policy:Cancellation Policy: Cancellations must be received by JazzArts in writing by letter or email. Cross Cultural Journeys will calculate your refund based on the day the written notification is received. Regardless of reason or cause, cancellations result in the costly processing of letters, toll calls, record adjustments, refund checks, as well as a loss of time, which often precludes resale. Thus, there is a nonrefundable cancellation fee of 50% of the deposit per person. The following penalties will apply on cancellations: • Minimum cancellation fee 50% of deposit per person • Between the time of the reservation and up to 60 days prior to departure: 50% of deposit • Between 59-0 days prior to departure: 100% of trip price. Please note that no partial refund will be given for unused travel for any reason once the trip begins.