Booking Form

Use this form when you've checked our Terms and Conditions, you've discussed your needs with us, and you're ready to go ahead and confirm your booking...

Your oceanswimsafari?(*)

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Names (as on passports for all those covered by this booking - We require one booking form per room)(*)

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Dates of birth of all those covered by this booking(*)

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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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Names of swimmers (including yourself)(*)

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Room configuration(*)

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Room Standard

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Do you have any medical or physiological conditions that might affect your capacity to undertake this oceanswimsafari? Other comments or requests?

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

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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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Please, prove that you're a person...(*)

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