Online Booking Form
One booking form to be submitted for each person traveling.
I have read, understood and agreed with the Booking Conditions:
Conditions read? Yes No
Contact information
First name:
Last name:
Email address:
Primary telephone:
Alternate telephone:
Mailing address:
Address 2:
City:
Province/State:
Postal/Zip code:
Country:
Tour and travel information
Safari date:
Tour title:
Flight details
Airline:
Flight number:
arriving in Africa
arrival date:
arrival time:
arrival place:
departing Africa
departure date:
departure time:
departure place:
Passport details
Passport number:
date of issue:
expiry date:
place of issue:
Personal information
age:
Fitness level: 5 - very fit 4 3 2 1 - not very fit
Any existing medical conditions?
Any special dietary requirements?
Emergency contact
Please add any questions or comments you may have.
Upon confirmation of this booking request you will be asked to sign a waiver. A PDF version of the waiver can be seen here.
