Number of persons staying with us (specify how many adults and how many children under 12) *
Your answer
Names and Surnames of ALL persons that will be staying with us (required as per COVID 19 regulations) i.e. if you are 5 people in the chalet, we need the names of all 5. *
Your answer
Check in date *
MM
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DD
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YYYY
Check out date
MM
/
DD
/
YYYY
May we take your temperature on arrival (as per COVID 19 regulations)? *
Home Country *
Contact number where we can reach you while in Namibia (required as per COVID 19 regulation) *
Your answer
Contact number when not in Namibia (not applicable to NAM residents)
Your answer
Where did you stay last night (name of establishment town and country, e.g. White House BB, Grünau, Namibia)? *
Your answer
Where will you travel to when departing from us? (establishment, town, country) *
Your answer
What is the purpose of your trip? *
Do you accept our terms and conditions, agree to abide by our house rules and agree to our indemnification? *