EmailMe Form - Join Kizzy set sailing Adult-Only Cruising

#1 TRAVELER: Name as it appears on your Government ID: *
First Last
#1 TRAVELER: Your Email: *
#1 TRAVELER: Date of Birth: *
MM / DD / YYYY
#1 TRAVELER: Anniversary Date
MM / DD / YYYY
(if applicable - what is your wedding date)
#1 TRAVELER: Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
#1 TRAVELER: Phone *
### - ### - ####
#1 TRAVELER: Phone type: *
iPhone
Android
#1 TRAVELER: Are you or anyone in your cabin an active armed forces member or first responders? *
Yes
No
(If you are a military or first responder, be sure to bring your ID — they'll check onboard.).
#1 TRAVELER: Do you have a US Passport? *
Yes
No
Domestic travel, not required
#1 TRAVELER: Are all guests traveling U.S. citizens? *
Yes
No
#1 - Upload Passport/Government ID/Military ID Here:

Add File

Multiple uploads are available

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#1 TRAVELER: Good-To-Know Details:

Use this area to list any health concerns:
Please specify any dietary preferences or food restrictions:
Emergency Contact Information? (First and Last Name, contact number and email address)

#1 TRAVELER: T-Shirt Size (Unisex) *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
#2 TRAVELER:
#2 TRAVELER: Name as it appears on your Government ID:
First Last
#2 TRAVELER: Your Email:
#2 TRAVELER: Phone
### - ### - ####
#2 TRAVELER: Phone type:
iPhone
Android
#2 TRAVELER: Anniversary Date
MM / DD / YYYY
(if applicable - what is your wedding date)
#2 TRAVELER: Date of Birth:
MM / DD / YYYY
#2 TRAVELER: Address (only if different than #1 TRAVELER)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

.
#2 TRAVELER: Do you have a US Passport?
Yes
No
Domestic travel, not required
#2 TRAVELER: Are you or anyone in your cabin an active armed forces member or first responders?
Yes
No
#2 TRAVELER: Are all guests traveling U.S. citizens?
Yes
No
#2 - Upload Passport/Government ID/Military ID Here:

Add File

Multiple uploads are available

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#2 TRAVELER: Good-To-Know Details:

Use this area to list any health concerns:
Please specify any dietary preferences or food restrictions:
Emergency Contact Information? (First and Last Name, contact number and email address)

#2 TRAVELER: T-Shirt Size (Unisex)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVELER #3
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OTHER CABIN MATES: (include all that will be sharing this cabin)

ADD: Full name/DOB/Email address and Phone#:

Name #3: Full Name/DOB/Email/Phone#

Emergency Contact Information?

ADD IF MORE THAN TWO SHARING A CABIN
#3 TRAVELER: T-Shirt Size (Unisex)
#3 - Upload Passport/Government ID/Military ID Here:

Add File

Multiple uploads are available
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
TRAVELER #4
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OTHER CABIN MATES: (include all that will be sharing this cabin)

ADD: Full name/DOB/Email address and Phone#:

Name #4: Full Name/DOB/Email/Phone#

Emergency Contact Information?

ADD IF MORE THAN TWO SHARING A CABIN
#4 TRAVELER: T-Shirt Size (Unisex)
#4 - Upload Passport/Government ID/Military ID Here:

Add File

Multiple uploads are available
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TRAVEL DESTINATION/DATES:

Miami, Grand Turk (& back) - June 27, 2026 - July 2, 2026

5-night voyage on Resilient LadyRound trip from Miami, Florida, USA

Ports of Call: Miami, Grand Turk, The Beach Club at Bimini & Miami

Group Name: SUM26KIZZY
How Many In Your Cabin: *
Are you celebrating a special occasion? *
(Honeymoon, Birthday, Anniversary, etc.)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Cabin/Stateroom Type:
Pricing is based on availability and subject to change until your booking is confirmed.
Cabin Type/Rate
Pricing is based on availability and subject to change until your booking is confirmed.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Select Your Cabin Choice and Price: *
Choose the cabin that best fits your travel needs!
BED TYPE? *
One - King Bed
Two - Twin Beds
You can select the bed that fits your cabin's mates.
STATEROOM/CABIN LOCATION? *
Noise
Motion
Smell

Please just select the one you are most sensitive to. This will help you pick the right cabin for your needs.
Does anyone in the stateroom/cabin need ADA accommodations-accessible room? *
Yes
No
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
VACATION/CRUISE (A LA CART) ADDITIONS:
Please check the vacation package you would like more information:
(check all that applies). *
Cruise Only
Flights
Pre hotel stay
Post hotel stay
Transportation (to/from airport)
Other
(check all that applies)
Do you need transportation to/from your HOME airport: *
YES
NO
TRANSFERS TO/FROM THE AIRPORT TYPE: *
Shared transfers
Private transfers (just your party)
Luxury Private
Interested in (ADD-ON FEATURE) A SPLASH OF ROMANCE? *
Yes
No
(Ask Me Later)

INCLUDES:
- Priority Check-in & Boarding
- An exclusive wristband in addition to The Band so our Crew knows who to surprise and delight
- Daily curated cold-pressed juices at the Gym & Tonic Bar each morning
- 3-Hour Thermal Spa Pass per Sailor
- A Shake for Champagne (charge removed from folio at the end of the sailing)
- Exclusive Sail Away Hour
- Aphrodisiac bites to keep the romance flowings
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AIRFARE:
Do you need Domestice Airfare? *
YES
NO
Maybe later
Home airfare choices: *

Location #1

Location #2

Location #3
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EXCURSION INTEREST *
Yes, hook me up
Nope
Maybe, send me something
What is on your excursion bucketlist?
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CREDIT CARD INFORMATION & AUTHORIZATION:
Interested In the FLEX PAY Program? *
Yes
No

(book now and pay later)
If NO, move to credit/debit card information below.
NO FLEX PAY -----------------------------------------------------------

Enter Amount to Charge/Deposit:
$ Dollars . Cents
Credit Card

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Billing address:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
How did you hear about us? *
Friend/Family Member
Internet/Facebook/IG
Google
Other
*

Name of the person who referred you?

How do you normally book vacations?
BEST WAY TO COMMUNICATE *
How soon are you looking to pay your deposit to secure your vacation? *
Within 48 hours
Within 1 week
Within 2 weeks
Within 1 month
Within 3 months
Within 6 months
(debit/card information below)
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Changes Made Due To Client *
Yes I Understand AND Agree;
I understand that any changes to my reservation after deposit has been applied will incur a $50 penalty per request. i.e. Name, Add, Remove, Upgrade Room, Replace, etc.
Cancellation Penalty *
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE IF I CANCEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Insufficient Funds Policy: *
Yes I Understand AND Agree;
I UNDERSTAND THAT I WILL BE CHARGED A $50 PER PERSON FEE FOR INSUFFICIENT FUNDS FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD PROCESSED BY LEGNA TRAVEL. PLEASE CHECK THE BOX THAT YOU UNDERSTAND AND YOU GIVE LEGNA TRAVEL AGENCY PERMISSION TO CHARGE YOUR CARD ON FILE $50 PP UPON CANCELLING YOUR BOOKING. IN ADDITION TO A $50 INSUFFICIENT FUND FEE FOR ANY RETURNED MONEY ORDER, CASHIERS CHECK AND OR CREDIT /DEBIT CARD.
Legna Travel Agency (“LTA”) acts as a sales agent for any airline, hotel, car-rental company, tour operator, cruise line, or other service provider named in your itinerary (“Suppliers”). LTA is not responsible for acts or omissions of the Suppliers or their failure to provide services or adhere to their own schedules.

LTA assumes no responsibility for and shall not be liable for any refund, personal injury, property damage, death, or other loss, accident, delay, inconvenience, or irregularity which may be caused by: (1) any defaults, wrongful or negligent acts, or omissions of the Suppliers; (2) any defect in or failure of any vehicle, craft, equipment, or instrumentality owned, operated, or otherwise used or provided by the Suppliers; (3) any wrongful or negligent acts or omissions on the part of any other party not under LTA'S control; and (4) any Supplier price drop after your travel arrangements have been confirmed, paid in full, or ticketed. You hereby release LTA from all claims arising out of any problem covered in this paragraph.

Travel arrangements involving airline and cruise components are subject to supplemental price increases that may be imposed by the supplier and/or government after you have completed your purchase. You hereby consent to any such price increases and authorize your credit or debit card to be used for them. Suppliers have their own contracts covering cancellation penalties and other terms and conditions, and you may be bound by those contracts regardless of whether you receive notice of their terms. By signing below, you are consenting to those terms and conditions.

LTA has no special knowledge regarding the financial condition of the Suppliers, unsafe conditions, health hazards, weather hazards, or climate extremes at locations to which you may travel.

For information concerning possible dangers at destinations, LTA recommends contacting the Travel Warnings Section of the U.S. State Department at (202) 647-5225 or www.travel.state.gov. For medical information, LTA recommends contacting the Centers for Disease Control at (877) FYI-TRIP or www.cdc.gov/travel. You assume full and complete responsibility for checking and verifying any and all passport, visa, vaccination, or other entry requirements of your destination(s), and all conditions regarding health, safety, security, political stability, and labor or civil unrest at such destination(s).

I hereby release LTA from all claims arising out of any problem mentioned including death. You agree that the courts in Stafford County will be the exclusive jurisdiction for all claims brought by you by LTA, and you hereby submit to the personal jurisdiction of those courts. *
Yes I Understand AND Agree;
I agree to the charges and terms of the trip. I am aware that deposits are nonrefundable and nontransferrable, and credits will not be issued.

I agree not to dispute or attempt to chargeback any payments or charges applied towards my trip.

I understand that additional Terms and Conditions from the Suppliers apply as well. *
Yes I Agree.
I understand this is a disclosure of business practices and a permissive credit/debit card payment agreement to purchase travel services. I agree that Legna Travel Agency may make payments directly to selected travel suppliers on my behalf; payments are prorated and not to exceed the total sum of approved charges. I understand Debit Cards often impose “Daily Charge Limits,” multiple payments may be needed to complete the total balance due, for which you will be notified if the situation occurs. *
Yes I Agree.
Signature
Clear
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Thank you for completing the Interest form. Someone will follow up with you shortly.

Thank you, Legna Travel

Name #3: Full Name/DOB/Email/Phone#
Emergency Contact Information?

Name #4: Full Name/DOB/Email/Phone#
Emergency Contact Information?

Location #1
Location #2
Location #3

Name of the person who referred you?
How do you normally book vacations?

Legna Travel
P.O. Box 5691 * Fredericksburg, VA 22403
O: 540.699.0992 * E: info@legnatravel.com * W: legnatravel.com

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