You’re Almost Ready for CUBA! Liability Waiver This information is used to prepare all documentation and arrangements for your travel to Cuba under general license 515.575 Humanitarian – Environmental Projects. Traveler Profile - OFAC What is your first, middle & last name?*Do you have a nickname you prefer to be called? Ex: "Patty" instead of" Patricia"Current Address (include complete postal address)* Email* Your Mobile Cell Phone # (for notifications)*Passport InformationUpload a color photo/copy of your Passport (make sure your photo and passport # can be seen clearly)Trip DetailsEXPECTED TRAVEL DATE*Please list any dietary restrictions / food allergies:Diver InformationWhat is your highest diver certification level?Please list your DAN Memberr Number (required for diving in Cuba)Which DAN insurance plan do you currently have?Guardian PlanPreferred PlanMaster PlanYou will be diving in remote areas of Cuba wkth little infrastructure. In the event of an accident, it could take hours if not days to reach a hospital or hyperbaric chamber. It's extremely recommended you have DAN Dive accident Insurance. Approximately how many logged dives do you have?When was your last dive? (approximate date)How many pounds of weight do you expect to use while diving in Cuba? (ocean dives in temp 76-80 degrees)Will you be celebrating any milestones or anniversaries this trip?Please provide and Emergency Contact Name (soneome who will not be in Cuba with you)What is your relationship to your Emergency Contact?What is their phone number?Terms and Conditions* By checking this box, I agree to Cuba Scuba Terms READ TERMS