Directory
Photo Week 2010 Questionnaire
First Name
Last Name
Email Address
Flight Information: If you have your flight Information, please provide details below. Otherwise, when you make your flight reservations, please send details to: cobalt@candw.ky with your name in the subject line.
Airline and flight number
Arrival Date mm/dd/yy
Arrival Time
Departure Date mm/dd/yy
Airline and flight Number
Departure Time
Single or Double Occupancy
Single Room Requested
Double Occupancy
Please pair me up with someone: (I understand that if I cannot be paired with another participant, I will be charged the single supplement of $595.)
If you know, please provide the first and last name of the person staying in your room.
Any special dietary needs?
No
Yes
If Yes, Please list special requests
Dive Information
What are you diving?
Open Circuit
Rebreather
Non-Diver
If OC are you nitrox certified?
No
Yes
No, But I would like to sign up for a nitrox course during the week
If CCR, Model of your rebreather
Do you need CCR cylinders?
No
Yes
If Yes, What Size do you prefer?
Aluminum 2 liter
Aluminum 3 liter
Steel 3 liter
Size of CCR bailout cylinder?
Aluminum 30 cuft
Aluminum 40 cuft
Aluminum 63 cuft
Aluminum 80 cuft
Your reservation will be confirmed with a $700 deposit (per person). Please call Cobalt Coast Dive Resort 1 888 946 5656 toll free with your credit card details.<br><br>If you have not provided your flight details, be sure to send them 2 weeks before arrival.