Cruise Dialysis

Bolero River Cruises Booking Form

Please complete the form below. Once you have done so please click on the submit button at the end. We will then forward your booking information to you.

Please complete one form for each cabin you wish to book.

If you would like to book one cabin for more than 2 passengers please contact us.

If you have any questions please contact us on 0844 995 1214.

Bolero Booking Form
Ship *
Cruise *
Have all passengers been fully vaccinated for Covid19, including booster? *
Are any passengers taking a wheelchair or mobility scooter onboard? *
Will a dialysis patient be occupying this cabin? If yes, please put the dialysis patient's details in the boxes for PASSENGER 1 below *
Is Passenger 1 a dialysis patient? *
Is Passenger 2 a dialysis patient? *
Does the patient currently test negative for Hepatitis B, Hepatitis C, HIV and MRSA? *
Flights *
Do any of the guests have any of the following dietary requirements? *
Do any of the passengers have any sensory impairments? *
Do any of the passengers require supplementary oxygen? *
I have read the email sent to me and understand the cost of the dialysis during my cruise *
I have read the email sent to me and understand the cost of the service charge for my cruise *