Island Time Charters on Martha’s Vineyard
USA Tel.508-499-9126
info@myislandcharter.com

Sightseeing Cruise Information Sheet

NAME OF THE HEAD OF PARTY:
CRUISE DATE:

Please list all members of the members of your party:

NAME	AGE

Contact for charter party :

Telephone #’s (home) :	(work)	(Other)

Are you staying at a hotel prior to boarding ?

Hotel Information : Name :	Tel. No.

cv cv

Are you going to need ground transport (additional surcharges apply)? YES NO

Pick Up Location:______________________ Drop Off Location:______________

cv YOU ARE MOSTLY…

Active, “on-the-go” types

Interested in relaxing and unwinding

Ready to take each day as it develops

CHARTER ACTIVITIES: Please indicate your interests:

Sun Bathing	Island Tours	Snorkeling	Beach Walks ___
Swimming	Beachcombing

Are there any guests on board who do not swim?

Medical Details:

Please describe any particular medical conditions that apply to any of the guests (such as heart conditions, epilepsy, diabetes and allergies). It is the responsibility of each individual in the cruise party to bring along his/her own prescription and non-prescription medicines.

Name	Medical Condition

While onboard we would like to know if there are any special occasions that you would like to celebrate, for example birthdays, anniversaries or holidays.

The occasion Date and specifics for your request

You are choosing a 4H Martha’s Vineyard Cruising experience

Would you like to add a Digital Download Video DRONE Footage and pictures of your adventure to your excursion ? $80

Yes No

Are you adding BEACH Clambake Experience ?

Yes No

Does anyone in the Party have food allergies or dietary requirements?

Yes No

Is there anyone in your group that is allergic to a certain food type or for religious or preferential reasons does not eat any type of food? I.E. Kosher, Vegetarian, low card, low sodium, low sugar. Please enter below.

Name	Allergy or dietary requirements

$MK price per person fee for a Fixed Menu: Lobster, steamers, mussels, linguica, potatoes, corn, lemon, butter

One lobster per person/ No Substitutions

Customized Clambake Options (surcharges apply)

Please check your preferences, add specific preparations where necessary and make a few notes as to how you prefer your clambake to allow us to accommodate your tastes. Please be as specific as possible, i.e. Brands and quantities. Whenever possible the exact request will be placed; however substitutions may be necessary.

Clambake Additional OPTIONS

Please check your preferences, add specific preparations where necessary

FOOD	SPECIAL LIKES	DISLIKES
Clams
Little necks
Chorizo
Shrimp
Red onions
Fish-specify kind
Clams Casino
Other

Maximize Your Cruising Experience by Adding Fun Activities for your Family

Are you interested on adding more time/activities to your 4H cruise for an additional charge?

Yes No

How many additional hours/ activities? _______________________

Snorkeling gear $25 p/p

Paddle board $40 per board

Double Kayaks $65 Single kayaks $55

1 hour of Wake Board, tubing or knee board $250

1 hour of Clamming includes gear (permit required) $150

2 hour S'mores, evening beach bonfire and fire dancing (up to 6 people) $150

2 fishing poles and bait $50

LUNCH

Light or Substantial?	Sandwiches? Hot	Cold

Sandwich Meats: Turkey	Chicken	Roast Beef	Tuna	Other
Cheese Platters : American	Swiss	Cheddar	Other
Favorite Breads :
Salads: Lobster	Shrimp	Pasta	Green	Other
Salad Dressings: Blue Cheese	Ranch	1000 Island	Italian
Poppy Seed	Low Fat	Vinegarette	Other
Chicken	Pasta	Seafood	Crab Cakes	Gourmet Pizza
Hot Dogs	Hamburgers

Additional Preferences:_____________________________________________________

_________________________________________________________________________

_________________________________________________________________________

HORS D’OEUVRES/SNACKS

Nuts	Chips	Cookies	Crackers	Fruit & Cheese
Chips & Salsa

Other:

BAR

Please note approximate quantities and brands (special requests for gourmet items and vintage wines/champagnes are additional on “all inclusive” charters). As with food we should note that not all wines and soft drink varieties are available in all places, though wherever possible we will do our best to accommodate or arrange the closest alternatives to your choices.

Soda, Juice, Mixers & Water

Type	Specific Brand Quantity bottles

Coke
Diet Coke
Sprite
Diet Sprite
Pepsi
Diet Pepsi
Caffeine free drinks
Ginger Ale
Lemonade
Orange
Orange Juice
Grapefruit Juice
Apple Juice
Cranberry Juice
Tomato Juice
Club Soda
Tonic Water
Bottle water (flat)
Bottled water (sparkling)
Other
Other
Other

Bourbon

Jim Beam	Wild Turkey
Makers Mark	Other

Beer

Brand Please indicate quantity. Brand Please indicate quantity.

Amstel	Miller
Heineken	Miller lite
Amstel lite	Budweiser
Corona	Budweiser lite
Corona lite	Icehouse
Coors	Guiness
Coors lite	Other

Scotch

Johnny Walker	Dewars
J & B	Glenlivet
Glenfiddich	Famous Grouse
Cutty Sark	other

Whiskey

Jack Daniels	Crown Royal
Seagrams	Other
Canadian Club	Other

Gin

Bombay	Tangueray
Beefeater	Sapphire
Gordon	Other

Vodka

Smirnoff	Stoli
Grey Goose	Kettle One
Absolut	Belvedere
Vox	Other

Rum

*please note dark or light

Bacardi	Havana Club
Malibu	Mount Gay
Myers	Other

Digestif

Limoncello	Cognac
Grappa	Brandy
Port	Other

Liqueurs and Appertifs

Amaretto	Baileys
Cointreau	Drambuie
Grand Marnier	Galliano
Kahlua	Campari
Sambucca	Sherry
Port	Other
Tia Maria	Other

Specialty Drinks

Pina Colada	Martinis
Bloody Mary	Cosmo
Margarita	Rum Punch
Daiquiri	Other

Wine

Wherever possible we will try to obtain the wines that you requested. If we are unable to source them due to market restraints we will endeavor to contact you prior to your cruise date to make alternative arrangements.

Reds	# Bottles

Champagnes	Bottles/cases

Whites Bottles/cases

Other final considerations:

Please list any other items that have not been addressed or any other items that you would like to have onboard for your trip.

Comments:

Please fill and submit this form to info@myislandcharter.com to receive an invoice with the final price of your customized charter.

If you have any other questions or suggestions that will help make your experience even more memorable, please do not hesitate to contact us.

ENJOY YOUR Island Cruise!

Bon Voyage!