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I have not been to Grand Turk.  Half Moon Cay is a private island.  It will be a very relaxing beach day.  For Naussau do not go to Pearl Island.  There is not much to do and no way off the island (except by the boat that brought you to the island).


As for excursions, this being your first cruise, you probably feel a little overwhelmed.  Therefore I suggest that if you are going to do any excursions, purchase them through Carnival.  Sure, it will cost a little more, but in return you get some safeguards and you have to do less work.  Once you have one cruise under you belt, then you can start researching shore excursions on your own.


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