Indemnity Form

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This field is for validation purposes and should be left unchanged.

Guests Information(Required)

Click on the + sign to add the information of each of the guests in your party.

Name

Surname

ID no/Passport

Nationality

Activities Start Date(Required)

Activities End Date(Required)

Type of Safari(Required)

Authorised Signatory(Required)

Name Surname

Email(Required)

Phone(Required)

Address(Required)

Street Address City ZIP / Postal Code

Next of Kin (Emergency Contact)(Required)

Please provide the contact details of a next of kin or emergency contact who is not traveling with you. This person will only be contacted in case of an emergency.

Name Surname

Next of kin Email(Required)

Next of kin Phone(Required)

Terms & conditions

I agree to the terms & conditions.

Signature(Required)