October 2023 Private Kenyan & Rwandan Safari

您的瀏覽器尚未啟用 JavaScript，因此無法開啟檔案。請於啟用後重新載入頁面。

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

Preferred name (or nickname)

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.

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!

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. I understand if a roommate cannot be found I will have to pay the single supplement.

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

Hobbies, Interests, or Occupation: we'd love to know a little about you, and this will also help us suggest activities and sites for you. *

Emergency contact information *

Please include the person's name, their relationship to you, their phone number, and their email. Make sure this person isn't also on this trip with you!

Dietary restrictions (vegetarian, vegan, gluten-free, dairy, etc). *

Any health conditions/allergies (food, drug, or environmental) we should be aware of? Please indicate any allergies you carry an EpiPen for. *

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 on safari? *

I have read the FAQ on the website about required and suggested vaccines. *

Yes, I have.

必填

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.

必填

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

Yes, please!

No, thanks.

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

其他：

I acknowledge that there may be specific COVID-19 protocols that must be adhered to, such as mask-wearing, hand-washing, and social distancing, in the spirit of keeping myself, fellow guests, and locals safe. Noncompliance with these measures will result in not being able to continue on the journey. *

I agree.

Please read and sign the Tour Contract and Liability Waiver below. You can download a copy of this contract for your records at http://bit.ly/retreatourscontract2021

I agree to the Tour Contract and Liability Waiver *

I agree

必填

Please sign below with your digital signature which consists of your full name *

Example: Jane Q. Traveler

提交

清除表單

請勿利用 Google 表單送出密碼。

Google 並未認可或建立這項內容。檢舉濫用情形 - 服務條款 - 隱私權政策

表單