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Reservation Details
A completed Booking Form and Deposit is an essential requirement for registration on every Rockjumper tour. Without a completed Booking Form and Deposit, you place on a tour cannot be confirmed. We need one form per couple if traveling together, or one per person if you are a single traveller. All parents or legal guardians must sign for minors under 18 years of age.
Please familiarise yourself with the Reservation Details available
here
.
The Terms and Conditions relevant to your tour can be downloaded below:
• If you are booking a tour
to South Africa
please read the terms and conditions found
here
.
• If you are booking a tour
outside of South Africa
please read the terms and conditions found
here
.
• If you are a resident of the UK please read the terms and conditions found
here
.
Confirmation
*
I confirm that I have read the relevant terms and conditions
Tour Booking Details
Tour Name
*
Tour Start Date
MM slash DD slash YYYY
Tour End Date
MM slash DD slash YYYY
Extension I
Extension I Start Date
MM slash DD slash YYYY
Extension I End Date
MM slash DD slash YYYY
Extension II
Extension II Start Date
MM slash DD slash YYYY
Extension II End Date
MM slash DD slash YYYY
Personal Details
Are you travelling alone?
*
Yes
No
Guest 1
Surname
*
Forename(s)
*
Title
*
Preferred Calling Name
If different to name stated on Passport
Date of Birth
MM slash DD slash YYYY
Guest 2
Surname
Forename(s)
Title
Preferred Calling Name
If different to name stated on Passport
Date of Birth
MM slash DD slash YYYY
Address
Please provide an address to which all correspondence can be sent
Work Phone
Home Phone
This field is hidden when viewing the form
Fax
Mobile
Email
*
Passport Details
Please provide details exactly as in the passport
Guest 1
Surname
*
Forename(s)
*
Passport Number
*
Place of Issue
*
Date of Issue
*
MM slash DD slash YYYY
Expiry Date
*
MM slash DD slash YYYY
Nationality
*
Guest 2
Surname
Forename(s)
Passport Number
Place of Issue
Date of Issue
MM slash DD slash YYYY
Expiry Date
MM slash DD slash YYYY
Nationality
Passport Upload
*
Drop files here or
Select files
Accepted file types: jpg, pdf, png, doc, docx, xls, xlsx, jpeg, Max. file size: 15 MB.
Please upload scanned copies of your Passport Details pages
This field is hidden when viewing the form
COVID-19 Vaccination Status
This field is hidden when viewing the form
Are you Fully Vaccinated against COVID-19?
*
Yes
No
This field is hidden when viewing the form
If you are not Fully Vaccinated, are you partially vaccinated against COVID-19?
Yes
No
This field is hidden when viewing the form
If you are not vaccinated, do you expect to be vaccinated before this tour starts?
Yes
No
This field is hidden when viewing the form
Upload COVID Vaccination certificate
Drop files here or
Select files
Accepted file types: jpg, pdf, png, doc, docx, xls, xlsx, Max. file size: 15 MB.
Please upload a scanned copy of your COVID Vaccination certificate.
Additional Requirements
1.a. If you are not traveling with a partner, would you be willing to share with another guest in a twin room? (if yes, you will be automatically paired)
*
Yes
No
1.b. If you are traveling with a partner, would you prefer 1 double bed or 2 single beds?
*
1 Double Bed
2 Single Beds
1.c. Would you like a printed checklist?
*
Yes
No
1.d. If you do want a printed checklist, and are traveling with a partner, would you like shared, or separate checklists?
*
Separate
Shared
2.a. If you are travelling to Uganda / Rwanda - Do you require a Gorilla Permit?
*
Yes
No
2.b. If you are travelling to Uganda / Rwanda - Do you require a Chimp Permit?
*
Yes
No
3. Special dietary requirements?
4. Medical conditions (allergies, mobility etc.)
5. Other considerations (please provide details)
6. Would you be willing to share your email address with other participants before or after the trip?
*
Yes
No
7. Will you sign up for Emergency Medical Evacuation via Global Rescue? www.globalrescue.com/rockjumper
*
Yes
No
Please contact Global Rescue directly with info found
here
.
This link will open in a new window and your signup progress will not be lost.
Pre-Tour Questionnaire
1. Would you be interested in any pre or post BIRDING tour activities?
*
Yes
No
1.a. If Yes, please provide us with further details:
2. Do you have a list of birds and/or mammals that you would like to target on the tour? If Yes, do please forward us a copy.
Yes
No
3. How would you rate your physical fitness? Do you envisage any difficulties while participating in any of the activities mentioned in the itinerary?
Very fit
Good
Average
Unfit
Mobility challenged
4. How would you rate your birding interest?
Hardcore
Keen
Average
General
5. Your photography interest?
Hardcore
Keen
Happy Snapper
None
6. Do you have any other specific interests?
Mammals
Flora
Culture
History
Geology
Insects
Reptiles
Amphibs
7. Do you have any other expectations/desires/goals that we should be aware of to help us make this the ultimate birding and wildlife adventure for you?
Contact In Case Of Emergency
Someone not on the tour
Full Name
*
Relation
*
Address
Work Phone
Home Phone
This field is hidden when viewing the form
Fax
Mobile
Email (Emergency)
Consent
Full Name
Date
MM slash DD slash YYYY
I hereby apply to Rockjumper for a reservation on the abovementioned tour(s). I confirm that I have read, understand and agree to all the terms and conditions of the tour(s) as detailed in the attached form. I have secured the necessary permission to sign on behalf of all people listed on this form.
*
I accept the above statement
Phone
This field is for validation purposes and should be left unchanged.
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*
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Comments
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Enquire about booking a tour
First Name
Last Name
Email
*
Tell us about your dream tour
How many people do you expect to be on the tour? (optional)
What are the date ranges you are looking at for this tour? (optional)
How many days would you like the tour for? (optional)
What is your price range for the tour? (optional)
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Name
This field is for validation purposes and should be left unchanged.
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Arrival Tour Information
Departure Tour Information
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1-888-990-5552
info@rockjumper.com