Booking – General

Booking Form

Your oceanswimsafari?(*)

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Your name(*)

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Other names used(*)

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Street address(*)

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City/Town(*)

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State(*)

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Postcode/Zip(*)

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Country(*)

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Email(*)

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Mobile phone(*)

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Gender(*)

Female

Male

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Names (+ genders, DoBs) of all those covered by this form (including yourself). Indicate those who are non-swimmers.(*)

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Room standard(*)

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Room configuration(*)

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Medical/physiological conditions, dietary requirements, etc(*)

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Emergency contacts (not travelling with you) for all those covered by this booking(*)

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I understand that my passport must have at least 6 months validity from the date of my departure from the destination country

Yes

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Are all those covered by this booking form fully vaccinated for Covid-19(*)

Yes, we are vaccinated

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Insurance(*)

I agree that I will take out my own travel insurance as per advice in Terms & Conditions

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I agree that I will act as sole contact for the room booked and I will be responsible for making single payments on behalf of all those covered by this booking. Split payments will incur a fee of $200(*)

I agree

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I have read the Terms & Conditions and I agree to them. Please send me an invoice.(*)

I agree

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How did you learn about this oceanswimsafari?(*)

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Booking Form

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2024

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