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Easy Booking Form (1)

Alternate, simplified booking form.

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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.
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Reference
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?*
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
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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

Max. file size: 150 MB.
Please upload scanned copies of your Passport Details pages

COVID-19 Vaccination Status
Are you Fully Vaccinated against COVID-19?*
- Yes
- No
If you are not Fully Vaccinated, are you partially vaccinated against COVID-19?
- Yes
- No
If you are not vaccinated, do you expect to be vaccinated before this tour starts?
- Yes
- No
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Upload COVID Vaccination certificate
Drop files here or

Max. file size: 150 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. Would you like to sign up for Emergency Medical Evacuation via Global Rescue? www.globalrescue.com/rockjumper*
- Yes
- No

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
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Fax
Mobile
Email

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

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Contact Rockjumper

USA & Canada Toll-free:
1-888-990-5552
Head Office (Mauritius):
+230 452 3731
Admin Office (South Africa):
+27 704 4177
info@rockjumper.com
Labourdonnais Village, Mapou, Riviere du Rempart, 31803, Mauritius
ABTOT (UK) clients - Rockjumper Birding Tours (Member 5418)

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