Your upcoming vacation in Southern Africa

  • General

    In order to be able to mitigate any potential risks associated with your upcoming travel in Africa as well as to get to know you a bit better on what you are expecting from your vacation, we would like to ask you kindly to fill out this form. The information will be treated confidentially but will be of great help to us in case we need to provide you with any assistance.
  • MM slash DD slash YYYY

  • Health

  • Is there anyone travelling with you that has any health issues or (food) allergies that we need to be aware of? If so, please specify.
  • If more than 2 are in your group, please specify the blood type of each extra participant.

  • Food

  • Is there anyone in your party that has any food allergies or who follows a special diet? If so, please specify.

  • Interests

  • Are there any specific interests such as seeing the Big Five, a special interest in birds, or seeing or observing something specific that you would like to share with us?

  • Emergency Contact Info

    In case of emergencies, who can we contact?

  • Other Comments

  • Is there anything else we need to know or that you would like to share with us?