Cruise Reservation Form

Are you a member?

YesNo

Would you like to become a member? - Members can save up to 40%!!

YesNo

Please click below to begin your membership:

MEMBERSHIP REGISTRATION

Ocean View Balcony

Boardwalk View Balcony

Interior

MEMBER SAVINGS: ${nonMember} OFF
____________________________________________

Subtotal: ${subtotal}
Processing Fee: ${processingFee}
_______________________________________________

Grand Total: ${grandTotal}

Non Member

Member Savings

SubTotal

Processing Fee

Grand Total

Payment Amount*

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Attestation
By signing below, I agree for my credit/debit card to be debited in the amount of ${grandTotal}.

Please note:

To begin your cruise booking, there is a $30 non-refundable registration fee required by all My Active Senior member participants. There is a $50 non-refundable fee for non- members.
Once your payment is received, our Royal Caribbean representative/My Active Senior travel agent will contact you directly to confirm your details and assist you with paying the $250 cruise deposit, which officially secures your room.
Your registration will not be processed until the registration fee is paid. The $250 deposit will then be paid directly to Royal Caribbean once your agent calls to complete your booking.
By submitting this form, you acknowledge and agree to the registration and deposit requirements.

I understand that I must pay the registration fee to start the booking process and then a $250 deposit will be required to officially hold my room.   I agree*

Do you currently have a roommate for the cruise?
If you don’t have a roommate, we’ll do our best to pair you with another participant. Alternatively, you’re welcome to find your own roommate.   Yes   No*

If yes, please state their full name. Please keep in mind, both parties need to fill out this form individually.    First Name*   Last Name*

Date of birth:   Date*

Address:      Street Address*   Address Line 2*   City*   State*   Zip*

Country of Citizenship:   *

Gender:   Male    Female*

Please verify that you are human*

Signature*

2026 Cruise Reservation Form