** Activity Application Form**

An E-mail notification will be sent to you confirming or disapproving reservation.
Please enter correct information especially for name, E-mail address and telephone number

Name: #The name must be identical to the name on the credit card that you are using for payment. （Ex. Michael Smith）
Tel.Number: #Enter a telephone number of credit card holder.
 A parenthesis or hyphen must not be used. (Ex.9171234567)
E-mail : #An E-mail address is required for notification of your reservation.

Duration in Palau: Y M D to  Y M D
Hotel Name:
-- Notice --
All the activities
  1. A reservation can be taken till the end of the following month. A reservation after that cannot be taken.
Dolphin Close Encounter
  1. Each child at the age of 5 Years and under must be accompanied by one paying adult.
  2. Every two children between the age of 6 -12 Years are recommended to be accompanied by one paying adult.
  3. Children at the age of 12 Years and under are free of charge.
  4. A disabled person and one assistant are free of charge. Enter the number of disabled persons in [Disabled Person].
Dolphins Swim
  1. Every two children between the ages of 6 - 12 Years must be accompanied by one or more paying adult.
  2. A child between the age of 6 - 12 Years receives a 50% discount.
Dolphin Swim, Dolphin Scuba Dive, Dolphin Introductory Dive.
  1. These activities require prerequisite of Dolphin Close Encounter.
    Please make reservation of the above-mentioned activities after participation of Dolphin Close Encounter.
  2. Guests who have already participated in our Dolphin Close Encounter Program can make reservations of the above-mentioned activities.
  3. In order to participate in Dolphin Scuba Dive, the guest must be a certified diver and must be able to present a diver certification card prior to participation in the activity.
ActivityReservation dateAM／PM Number of guestFee
Child
under 5Yr		Child
between 6〜12Yr		Adult
over 13Yr		Disabled
Person
Dolphin CloseEncounter Y M D
Dolphin Swim Y M D ----
Dolphin Symphony Y M D ----
Dolphin FreeDive Y M D ---- ----
Dolphin ScubaDive Y M D ---- ----
Dolphin Introductory Dive Y M D ---- ---- ----
One Day Trainer Y M D 9:00 ---- ---- ----


--Total Fee--$

Comments please

submit reset