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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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Stress Free - Our Cruise Conferences provide a unique, relaxing learning environment.

Family Friendly - Our cruises are fun for the entire family. You will never run out of things to do!

Current Topics in Critical Care, Pulmonary Medicine, & Sleep Medicine

7-Night Bahamas, Mexico & Grand Cayman Cruise
Round-trip Ft. Lauderdale, Florida
February 04 - 11, 2024

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

<em>Celebrity Ascent</em> — *Celebrity Ascent*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program
8 Hours of Pharmacology for Nurse Practitioners

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$795.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

COPD
- Discuss GOLD 2023Guidelines for Staging COPD
- Discuss GOLD 2023 Guidelines for COPD management
- Discuss the ACCP and Canadian Thoracic Society published guidelines for prevention of acute exacerbations of COPD
- Discuss the data that shaped these guidelines as related to:
  - Medication Recommendations
  - Non-medications Recommendations
- Discuss data on surgical and non-surgical lung volume reduction in patients with COPD.
- Discuss data on NIV for stable and acute COPD management
- Discuss New areas of investigation.
Asthma
- Discuss the prevalence and economic impact of asthma
- Examine the pathophysiology of asthma
- Discuss strategies for management of asthma patients with acute respiratory failure
- Discuss expert consensus recommendations and application of these recommendations for accessing asthma control and disease management
- Discuss updated expert consensus recommendations for long term asthma management
- Examine data on recently FDA approved medications and bronchoscopic interventions used to treat severe persistent asthma
Pulmonary Nodules and Lung Cancer Screening: Understanding and Applying the Society Recommendations
- Describe characteristics of pulmonary nodules that influence clinical suspicion for benign versus malignant
- Discuss the Fleischner Society Guideline recommendations for following incidental pulmonary nodules noted on CT scans of the chest
- Discuss Lung Cancer Screening Guidelines.
- Discuss Lung-RADS: the structured reporting system for interpretation of lung cancer screening CT examinations. Understand the difference in the Fleischner Guidelines and Lung Cancer Screening guidelines as related to nodule management
- Discuss diagnosis and staging of lung cancer
- Brief discussion of lung cancer treatment
Acute Hypoxic Respiratory Failure and Acute Respiratory Distress Syndrome Clinical Update
- Review updated definition of ARDS
- Discuss risk factors for developing ARDS as well as the differential diagnosis of patients presenting with acute hypoxic respiratory failure and bilateral pulmonary infiltrates
- Examine data on the use of non-invasive ventilation and high flow nasal cannula for management patients with hypoxic respiratory failure. Recognize clinical parameters suggesting failure of these modes of respiratory support
- Understand the current recommendations regarding mechanical ventilation and management of patients with ARDS.
- Discuss the benefits and how to implement alternative treatments in patients with severe ARDS including: prone positioning, ECMO, paralytics, and vasodilators
Pulmonary Embolism: Treating Patients Based on Risk Stratification, Evidence-Based Guidelines
- Discuss the Risk Stratification for Acute Pulmonary Embolism
- Identify Clinical Tools, Radiological Imaging, and Laboratory Markers Used in Risk Stratification of Acute Pulmonary Embolism
- Discuss Current ACCP Recommendations for Treatment of Acute Pulmonary Embolism
- Discuss Data on Treatment Outcomes of Patients with High and Intermediate Risk Acute Pulmonary Embolism Treated with Thrombolyis, Catheter Directed Thrombolyis, and Standard Anticoagulation
- Discuss Data on Long Term Follow-up from Patients with High and Intermediate Risk PE Treated with Thrombolysis versus Standard Anticoagulation
- Review Current ACCP Recommendation for Duration of Treatment of Acute Pulmonary Embolism
Sleep Apnea Treatment Options: PAP, PACERS, and Beyond
- Discuss the clinical benefit of weight loss and positional sleep therapy as treatment for OSA
- Discuss data on medical interventions as related to treatment for OSA
- Discuss data on Provent nasal device as related to treatment of OSA
- Discuss data on dental devices as related to treatment for OSA
- Discuss data on various surgical interventions as related to treatment of OSA
- Discuss data on use of upper-airway stimulators for treatment of sleep apnea
- Discuss data on use of diaphragm pacing in patients with central sleep apnea
Interstitial Lung Disease Part 1: Idiopathic Pulmonary Fibrosis and Sarcoid.
- Discuss the broad differential diagnosis of diffuse parenchymal lung disease
- Discuss the ATS/ERS diagnostic criteria for IPF and CT findings characteristic of IPF
- Understand the various clinical measures predictive of survival in IPF
- Discuss data that resulted in FDA approval for two drugs for treatment of IPF
- Discuss the ATS/ERS guidelines for treatment of IPF
- Understand the clinical presentation of pulmonary sarcoidosis.
- Discuss the ERS clinical practice guidelines for treatment of sarcoidosis as related to organ involvement
Interstitial Lung Disease Part 2: Hypersensitivity Pneumonitis and Non-Cystic Fibrosis Bronchiectasis
- DiscussATS/ERS practice guidelines for diagnosis and management of hypersensitivity pneumonitis
- Examine CT findings for fibrotic and non-fibrotic HP
- Discuss the pathogenesis of Non-Cystic Fibrosis bronchiectasis
- Explain the work-up to determine the etiology of non-CF bronchiectasis
- Discuss how to manage patients with non-CF bronchiectasis
- Discuss management strategies in patients with acute exacerbations of non-CF bronchiectasis

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Stephen R. Clum, MD, PhD

Assistant Professor
Department of Internal Medicine
Division: Pulmonary, Critical Care, Sleep Medicine
University of South Florida
Tampa, FL
Associate Professor of Medicine, University of Central Florida
Chief of Pulmonary and Sleep Medicine at Bay Bines VA, St. Petersburg, FL

Stephen Clum, MD PhD Dr. Clum earned his PhD in biochemistry at the University of Kansas. His PhD studies involve characterization of the dengue virus type II serine protease. After completing his PhD, he then pursued his medical degree at the University of Kansas. Following completion of his medical school training, he completed a combined residency in Internal Medicine and Pediatrics at University of South Florida. He remained at University of South Florida for fellowship training in Pulmonary, Critical Care, and Sleep Medicine.

After completing his fellowship training, he moved to Springfield Missouri where he joined a multispecialty group. His practice encompassed Pulmonary, Critical Care, Sleep Medicine including an active pediatric sleep practice. In 2014, he returned to the University South Florida to join the faculty in the Division of Pulmonary, Critical Care, and Sleep Medicine where he served as the associated division director. In this role he was actively involved in expansion of inpatient and outpatient services at Tampa General Hospital and USF. Following the retirement of his mentor, he served as the interim division director until the fall of 2020 when he joined the Bay Pines VA Healthcare System as the Chief of Pulmonary and Sleep Medicine. In his current role as Chief of Pulmonary and Sleep Medicine, he has helped developed a robust pulmonary nodule program, COPD program, and ILD program. At both the University of South Florida and Bay Pines VA, Dr. Clum has been a core faculty involved in the education of Pulmonary, Critical Care, and Sleep Medicine fellows.

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 16 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
	Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA). US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 16 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits ^TM as needed. Pharmacology credits are identified on individual activities.
	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 16 hours of pharmacy continuing education credit.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sun Feb 04	Ft. Lauderdale, Florida	-	3:30 pm
Mon Feb 05	Nassau, Bahamas	7:00 am	5:00 pm
Tue Feb 06	At Sea - Cruising Meeting 9:00AM - 12:00PM, 1:00PM - 4:00PM*	-	-
Wed Feb 07	Cozumel, Mexico	7:00 am	5:00 pm
Thu Feb 08	At Sea - Cruising Meeting 9:00AM - 12:00PM, 1:00PM - 4:00PM*	-	-
Fri Feb 09	Georgetown, Grand Cayman	7:00 am	5:00 pm
Sat Feb 10	At Sea - Cruising Meeting 9:00AM - 1:00PM*	-	-
Sun Feb 11	Ft. Lauderdale, Florida	7:00 am	-
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Ft. Lauderdale, Florida

As your travel advocates, we view the start of your vacation not as a logistical hurdle, but as the first chapter of your experience. For cruises departing from Fort Lauderdale, we strongly encourage you to treat the city as more than just a transit point. Arriving a day or two early transforms a potentially stressful travel day into a seamless, relaxing prelude to your voyage, and Fort Lauderdale is perfectly suited for this purpose.

Think of it as easing into vacation mode. Flying in the day of your cruise introduces unnecessary risk—a single flight delay or misplaced bag can jeopardize your entire trip. By arriving early, you trade that anxiety for the sophisticated, laid-back ambiance of the “Venice of America.” The city’s primary airport, Fort Lauderdale-Hollywood International (FLL), is exceptionally convenient, located just a few miles from both the cruise terminals at Port Everglades and the city's best hotels. A short taxi or rideshare trip will have you checked in and ready to explore in no time.

**Your Pre-Cruise Itinerary Suggestion:**

**Day 1: Canals, Culture, and Cuisine**

After settling into your hotel, your first experience should be the one that defines the city: its waterways. Forget the rental car and embrace the Water Taxi. It’s not just transportation; it’s a brilliant sightseeing tour. As you cruise the 165 miles of inland canals, you’ll glide past stunning waterfront mansions, mega-yachts, and lush tropical gardens. It’s a relaxing and genuinely unique way to get your bearings and appreciate the city’s distinctive character.

Disembark at the stop for Las Olas Boulevard. This is the city’s heart—a beautifully landscaped, pedestrian-friendly thoroughfare lined with independent boutiques, captivating art galleries, and a superb collection of restaurants. It’s the perfect place for a leisurely afternoon stroll, perhaps stopping for a coffee or a cocktail at a sidewalk cafe. For dinner, Las Olas offers a range of options to suit any palate, from the classic Italian fare at Louie Bossi's Ristorante Bar Pizzeria to the upscale American cuisine at Lobster Bar Sea Grille. A celebratory pre-cruise dinner here sets a wonderful tone for the week ahead.

**Day 2: Beachfront Bliss and Natural Wonders**

Dedicate your morning to the iconic Fort Lauderdale Beach. This isn’t a rustic, deserted island; it’s a world-class urban beach, known for its wide, clean stretch of sand and the beautifully designed beachfront promenade. Rent a lounge chair and simply relax, or take a long walk along the signature “wave wall.” The atmosphere is vibrant yet far more relaxed than its southern neighbor, Miami Beach.

For the afternoon, you have two excellent, contrasting options:

1. **Cultural Immersion:** Visit the Bonnet House Museum & Gardens. This historic 1920s estate is a true gem, offering a glimpse into Old Florida’s artistic and whimsical past. The house itself is filled with original art and furnishings, but the real star is the surrounding 35 acres of pristine barrier island habitat, complete with tropical gardens, a hibiscus garden, and even a resident population of monkeys. It’s an accessible, enriching cultural experience that feels a world away from the city bustle.

2. **Wilderness Adventure:** Experience the Florida Everglades. Several reputable operators offer half-day tours that include transportation and an unforgettable airboat ride. Skimming across the “River of Grass” is a thrilling experience, providing a profound sense of this unique ecosystem’s vastness. You’re almost guaranteed to see alligators in their natural habitat, along with a variety of wading birds. It’s a fantastic adventure that provides a dramatic counterpoint to the coastal elegance of the city.

By the time you wake up on embarkation day, you’ll be refreshed, acclimated, and already in a vacation mindset. The short, stress-free transfer to Port Everglades will feel like a simple next step, not a frantic race. Starting your journey this way ensures you board your ship ready to enjoy every moment, and that, in our view, is the foundation of a truly great vacation.

Nassau, Bahamas

Nassau is a bustling hub, and your best day here requires a plan to navigate beyond the immediate, often-crowded port area. While it has its share of tourist traps, genuine Bahamian character is well within reach for those who know where to look.

For a dose of history, a short walk leads to the Queen's Staircase, a remarkable 66-step passage carved from solid limestone by enslaved people in the 18th century. It ascends to Fort Fincastle, which offers commanding views of the island. For a more refined local taste, the John Watling's Distillery on the historic Buena Vista Estate offers tours and tastings in a setting far removed from the downtown hustle.

If a classic beach day is your priority, we advise looking beyond the nearest options. A taxi to the quieter sands of Cable Beach or, for a more curated experience, a day pass to one of the major resorts on Paradise Island will provide the tranquil, turquoise-water escape you envision. These passes grant access to pristine private beaches and high-quality amenities, turning a potentially hectic port day into a truly relaxing one.

For the most authentic local flavor, take a taxi to Arawak Cay (known as 'The Fish Fry'). This is where Bahamians go for fresh conch salad, fried snapper, and a vibrant, casual atmosphere. It’s a world away from the port-side buffets and offers a true taste of the islands.

At Sea - Cruising

Cozumel, Mexico

Let's be direct: Cozumel is one of the world's busiest cruise ports, and it's essential to have a plan to navigate the crowds and find its genuine highlights. The island's global reputation is built on what lies just offshore: the Mesoamerican Reef, the second-largest barrier reef system in the world. For divers and snorkelers, this is a premier, bucket-list destination. The clear, warm water and vibrant coral formations of sites like the Palancar and Colombia reefs are genuinely world-class. For an accessible taste without a dedicated boat trip, parks like Chankanaab or the more remote Punta Sur Eco Beach Park offer excellent snorkeling directly from shore, combined with beaches and other amenities.

Many are drawn by the allure of Mayan ruins, but here’s a critical piece of advice: the famous sites like Tulum and Coba are on the mainland, not on Cozumel. Reaching them requires a 45-minute ferry to Playa del Carmen and then a bus journey, consuming nearly your entire day. While magnificent, choosing this option means forgoing the island experience entirely. It's a trade-off you must be comfortable with.

If you stay on the island, the main town of San Miguel offers a bustling waterfront and a dizzying array of shops. We recommend walking a few blocks inland from the main tourist thoroughfare to find more authentic local restaurants for a fantastic lunch. For pure relaxation, Cozumel’s beach clubs are a popular and effective choice. They range from lively, all-inclusive party spots with water toys to more serene, upscale retreats where the focus is on a good book and a great cocktail. You can easily find one that matches your pace. Cozumel is a highly developed tourism hub that excels at water sports and beach relaxation; embrace it for these strengths, and you’ll have a fantastic day.

Georgetown, Grand Cayman

Grand Cayman offers a distinctly polished and pristine version of the Caribbean experience. As a major financial hub, the island feels safe, clean, and exceptionally well-organized, making for a seamless and relaxing day ashore. It’s important to note that this is a tender port; your ship will anchor offshore, and you’ll take a smaller boat to the pier, so be sure to factor that time into your plans.

The island’s reputation is built on two world-class attractions. The first is the legendary Seven Mile Beach, a magnificent crescent of soft, white sand and impossibly clear turquoise water. While it’s no secret, its beauty is undeniable. You can easily grab a taxi from the port and find a public access point or settle in at one of the many beach clubs for the day. The second must-do is Stingray City. This isn't a contrived tourist trap; it's a natural sandbar where southern stingrays have gathered for decades. Standing in waist-deep water as these gentle, graceful creatures glide around you is a truly unforgettable experience.

Beyond these highlights, you can visit the Cayman Turtle Centre, a conservation and education facility that’s particularly popular with families. The town of Georgetown itself is compact and walkable, known for its high-end duty-free shopping, especially for jewelry and watches. While it lacks deep historical architecture, it’s a pleasant place for a stroll and a meal. For a taste of local flavor, find a casual spot for some conch fritters or fresh ceviche before tendering back to your ship.

Celebrity Ascent

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Balcony

Concierge Class Stateroom (C2)
Enjoy benefits such as priority check-in, a welcome lunch, and dedicated service throughout your journey. 201 sq. ft. with 42 sq. ft. veranda.

2,103.83
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Edge Stateroom with Infinite Veranda (E2)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda.

1,957.83
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Balcony Prime AquaClass Stateroom (A1)
A fully immersive, next-level wellness experience, located on the most desirable locations on the ship. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. Sleeps 2. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony AquaClass Stateroom (A2)
A fully immersive, next-level wellness experience. Dine at your exclusive restaurant, Blu. Plus, you’ll enjoy access to the SEA Thermal Suite, a spa concierge, fitness amenities, and more. 243 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Prime Concierge Class (C1)
Meticulously thought-out, these staterooms feature services, amenities, and exclusive events. Prime Concierge Class Staterooms are well-appointed, personal retreats located in the most desirable locations on the ship. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Prime Edge Stateroom with Infinite Veranda (E1)
An innovative design that merges inside and outside space, Infinite Verandas allow you to enjoy open-air access to the sea. Bring the outside inside with the touch of a button. Two double beds convertible to King. 201 sq. ft. with 42 sq. ft. veranda.

Call
800-422-0711
for Pricing

Balcony Edge Single Stateroom w/ Infinite Veranda (ES)
Sized for solo travelers, but with a full-size veranda. 142 sq. ft. with 42 sq. ft. veranda.

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800-422-0711
for Pricing

Balcony Deluxe Porthole View w/ Veranda (P1)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.

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800-422-0711
for Pricing

Balcony Deluxe Porthole View w/ Veranda (P2)
Centrally-located stateroom with floor-to-ceiling porthole view and private veranda. 201 sq. ft. with 40 sq. ft. veranda.

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800-422-0711
for Pricing

Balcony Sunset Veranda (SV)
The most spacious of all Edge verandas, the Sunset Veranda class is located at the aft of the ship, allowing for stunning sunset views. Two double beds convertible to King. 228 sq. ft. with 89 sq. ft. veranda.

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800-422-0711
for Pricing

Outside

Ocean View Stateroom (O2)
Take in the stunning views while you relax in your luxurious stateroom. Two double beds, convertible to King. 200 sq. ft.

1,615.83
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Outside Deluxe Oceanview Stateroom (DO)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Ocean View Staterooms will become your home away from home while on board. 238 sq. ft.

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800-422-0711
for Pricing

Outside Prime Ocean View Stateroom (O1)
Staterooms with a large window and sitting area where you can kick back and relax. Prime Ocean View Staterooms are located in the most-desirable locations on the ship. 200 sq. ft.

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800-422-0711
for Pricing

Outside Panoramic Oceanview Stateroom (PO)
Enjoy ever-changing vistas through floor-to-ceiling windows, plus more space than a standard Ocean View Stateroom. Located forward and mid-ship. 212 sq. ft.

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for Pricing

Inside

Deluxe Inside Stateroom (DI)
With ample living space, bigger bathrooms, and more drawer space, Deluxe Inside Staterooms will become your home away from home while on board. 202 sq. ft.

1,507.83
per person

Price above includes Wifi, Drinks Package and Gratuities.

Call: 800-422-0711
and we'll find the best value for you.

Inside Inside Stateroom (I2)
Two double beds convertible to King, with plentiful storage space in your bathroom and wardrobe. 181 sq. ft.

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800-422-0711
for Pricing

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite offers a blend of wellness, expansive views, and intimate luxury. These large suites feature a king-size bed and a spacious private veranda. The split bathroom features a large spa tub with shower. Aqua Sky Suites offer numerous benefits, including exclusive access to The Retreat, unlimited access to the SEA Thermal Suite, in-suite fitness amenities, and more.