Guest REGiSTRATION
(访客登记)
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groupId
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leaderId
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agentName
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leaderName
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agentId
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startName
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endName
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reducedField
Trip Information (旅行信息)
Arrival Date
DD dash MM dash YYYY
Departure Date
DD dash MM dash YYYY
Personal Information (个人信息)
Name
(Required)
First
Last
Preferred Name
(Required)
Date Of Birth
(Required)
DD dash MM dash YYYY
Gender (性别)
(Required)
Gender (性别)
Male (男)
Female (女)
Nationality
(Required)
Nationality (国籍)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
(Required)
Email
(Required)
Passport Number
(Required)
Passport Issued From (护照签发地)
(Required)
Passport Issued From (护照签发地)
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Passport Expiry
DD dash MM dash YYYY
Emergency Information (紧急联系人信息)
Emergency Contact Name
(Required)
First
Last
Emergency Contact Phone
(Required)
Relationship (关系)
(Required)
Relationship (与紧急联系人的关系)
Parent (父母)
Child (孩子)
Siblings (兄弟姐妹)
Friend (朋友)
Spouse/Partner (配偶 / 伴侣)
Coworker (同事)
Roommate/Housemate (室友 / 合租者)
Teacher (老师)
Student (学生)
Neighbour (邻居)
Flights & Other Details (航班及其他详细信息)
Picked Up Details
Select arrival pick up options (选择到达接机选项)
Pick me up at the airport (在机场接我)
Pick me up somewhere else (在其他地方接我)
No need for pick up (不需要接送)
Arrival Point
(Required)
Pick up address (接您的地址)
Hotel name or landmark (酒店名称或地标)
Arrival Flight Number
(Required)
Arrival Date
(Required)
DD dash MM dash YYYY
Arrival Time
(Required)
Hours
:
Minutes
Departure Details
(Required)
Select departure options
Send me to the airport (送我去机场)
Send me somewhere else (送我去其他地方)
No need. I will arrange my own transport. (不需要。我会安排自己的接送。)
Departure point
(Required)
Departure point address 1 (送您的地址)
Departure point address 2
Departure Flight Number
(Required)
Departure Date
(Required)
DD dash MM dash YYYY
Departure Time
(Required)
Hours
:
Minutes
Special Dietary
(Required)
Special Dietary (特殊饮食要求)
Yes
No
Dietary Remarks
(Required)
Diving Activities (潜水活动)
(Required)
Will you be participating in any diving activities? (您将参加任何潜水活动吗?)
Yes, I will be participating in diving activities. (是的,我将参加潜水活动)
No. I won't be participating in diving activities. (不,我不会参加潜水活动)
Dive Certification Level
(Required)
Dive Certification Level (潜水资格等级)
Learner Diver (I'm a Non-Diver learning a course!)
Scuba Diver
Open Water Diver
Advanced Open Water Diver
Rescue Diver
Divemaster / Dive Control Specialist
Instructor
Freediver Level 1
Freediver Level 2
Freediver Level 3
Freediver Level 4
Advanced Mermaid
Basic Mermaid (I'm Learning a Course!)
No. Of Logged Dives
(Required)
No. Of Logged Dives (已记录潜水次数)
0
1-10
11-50
51-100
101-500
>500
Date of Last Dive
(Required)
DD dash MM dash YYYY
Equipment Rental
(Required)
Do you need equipment rental? (您需要租赁潜水装备吗)
Yes
No
Please note that prices in IDR are subject to change due to currency fluctuations and local price adjustments. The final price will be confirmed upon your arrival at the resort. If your package includes rental equipment, simply let us know your sizes, and we'll have everything prepared for you.
Equipment Selection (装备选择)
(Required)
Full Set 全套装备 (BCD, Regulator, Mask, Wetsuit, Fins, Booties)
BCD (浮力控制装置) - IDR115,000 Per Diving Day
Regulator (调节器) - IDR115,000 Per Diving Day
Wetsuit (湿衣) - IDR115,000 Per Diving Day
Fins & Booties (脚蹼和靴子) - IDR160,000 Per Diving Day
Mask (潜水面罩) - IDR80,000 Per Diving Day
Dive Computer (潜水面镜) - IDR115,000 Per Diving Day
Torch (手电筒) - IDR115,000 Per Diving Day
Height
(Required)
Please enter a number from
50
to
230
.
Weight
(Required)
Please enter a number from
10
to
250
.
Shoe Size
(Required)
Please enter a number from
1
to
16
.
Consent (同意)
(Required)
I have read and agree to the Liability Release and Waiver for activities at Pebble and Fins resort, and I will comply with all accompanying terms, including adult supervision of minors and adherence to health and safety measures. (我已阅读并同意 “Pebble and Fins 度假村” 活动的责任释放和豁免条款,并且我将遵守所有相关条款,包括监护未成年人以及遵循健康和安全措施)
I, the undersigned, hereby agree to the following terms and conditions for participating in the recreational activities provided by Pebble and Fins resort, including but not limited to swimming, snorkeling, scuba diving, and other associated activities:
1. I acknowledge the inherent hazards and risks associated with these activities, and I voluntarily assume all risks involved. (
2. I release Pebble and Fins resort from any liability, claims, or damages that may arise from my participation.
3. I agree that minors accompanying me must be supervised by an adult who is responsible for their safety.
4. I will comply with all relevant hygiene standards and inform the resort if I am sick, understanding that the resort may take actions at their discretion.
5. I agree that this Agreement is governed by the laws of Indonesia, and I consent to the exclusive jurisdiction of the courts of Indonesia.
6. I understand that my personal data will be handled as described on Pebble and Fins' website, available at [Pebble and Fins' Privacy Policy](https://pebbleandfins.com).
By checking this box, I affirm that I have read and understood these terms and conditions, and I agree to be legally bound by them. I am aware that by agreeing to these terms, I am waiving certain legal rights, including the right to sue.
我,下签的,特此同意参与由Pebble和Fins度假村提供的休闲活动的以下条款和条件,包括但不限于游泳、浮潜、深潜以及其他相关活动:
1. 我承认与这些活动相关的固有危险和风险,并自愿承担所有风险。
2. 我免除Pebble和Fins度假村因我参与活动而可能产生的任何责任、索赔或损害。
3. 我同意陪同我的未成年人必须由负责他们安全的成年人监护.
4. 我将遵守所有相关的卫生标准,并在我生病时通知度假村,我明白度假村可以自行采取行动。
5. 我同意该协议受印度尼西亚法律管辖,并同意接受印度尼西亚法院的专属司法权。
6. 我了解我的个人数据将按照Pebble和Fins的网站上描述的方式处理,详情请见Pebble和Fins的隐私政策。
通过勾选此框,我证明我已阅读并理解这些条款和条件,并同意被其合法约束。我知道同意这些条款意味着放弃某些法律权利,包括起诉的权利。
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