Kenyan Safari 2020 Registration

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Full Name (Please write it exactly as written in your Passport) *

Preferred name (or nickname)

Date of Birth *

Non-U.S. guests, please make sure you are following the month / date / year format.

YYYY

Home Address (please include street address; city; state; ZIP; country) *

Best phone number to reach you *

Just in case we need to get ahold of you more quickly than via email; we don't anticipate ever using this, don't worry!

Email address *

We rely solely on email to communicate about this trip, so please make sure to add us to your address book to avoid having our emails sent to your spam folder or Gmail promotions tabs.

Passport country of issue *

We will be asking for a photo or scan of your passport's information page after you are registered.

Expiration date of passport *

*Please know that to enter most countries a passport must have at least six months validity and at least two blank pages *Please make sure you are entering the date as MONTH/DAY/YEAR (not day/month/year).

YYYY

Will you have a single room or a shared room on this trip? *

If you are willing to share but don't have a roommate already, we can let you know if others are in a similar situation. However, we can't guarantee that you will have a roommate.

I have a roommate but want separate beds

I have a roommate and will share a bed

I do not want a roommate and will pay the single supplement

I do not have a roommate but would like a roommate (though I understand if a roommate cannot be found I will have to pay the single supplement)

If you have a roommate, do you prefer one big bed or two separate beds when possible?

Please know that in ger camps, it may not be possible to have one big bed.

1 big bed

2 separate beds

Doesn't matter

Clear selection

If you are sharing a room, what is your roommate's name?

Hobbies/Interests/Occupation; we'd love to know a little about you if this is your first trip with us! *

Emergency contact information *

Please include the person's name, their relationship to you, their phone number, and their email.

Food allergies (gluten, dairy, etc) / Dietary restrictions (vegetarian, vegan, etc).

Any health conditions/allergies (food, drug, or environmental) we should be aware of? Are there any medications you will need refrigerated or medical devices that require electricity?

What are you hoping to experience on this journey? How can we help you get the most out of your time with us? *

Where did you first learn about this journey? *

I have read the FAQ on the website about vaccines. *

Yes, I have.

Required

I understand that Travel Insurance is mandatory on this journey and I will provide RetreaTours with my policy name/number before the start of this trip. *

I agree.

Required

Do you intend on adding on the Rwanda Gorilla Extension? *

Yes, AFTER the safari!

Yes, BEFORE the safari!

No, thanks.

I'm still undecided (but I understand that permits are limited)

Other:

Please read and sign the Tour Contract and Liability Waiver below. You can download a copy for your records at http://bit.ly/PilgrimageContract