Booking FormAlternate, simplified booking form.Step 1 of 812%Reservation DetailsA 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 conditionsTour Booking DetailsTour Name*Tour Start Date DD slash MM slash YYYY Tour End Date DD slash MM slash YYYY Extension IExtension I Start Date DD slash MM slash YYYY Extension I End Date DD slash MM slash YYYY Extension IIExtension II Start Date DD slash MM slash YYYY Extension II End Date DD slash MM slash YYYY Personal DetailsAre you travelling alone?*YesNoGuest 1Surname*Forename(s)*Title*Preferred Calling NameIf different to name stated on PassportDate of Birth DD slash MM slash YYYY Guest 2SurnameForename(s)TitlePreferred Calling NameIf different to name stated on PassportDate of Birth DD slash MM slash YYYY AddressPlease provide an address to which all correspondence can be sentWork PhoneHome PhoneThis field is hidden when viewing the formFaxMobileEmail* Passport DetailsPlease provide details exactly as in the passportGuest 1Surname*Forename(s)*Passport Number*Place of Issue*Date of Issue* DD slash MM slash YYYY Expiry Date* DD slash MM slash YYYY Nationality*Guest 2SurnameForename(s)Passport NumberPlace of IssueDate of Issue DD slash MM slash YYYY Expiry Date DD slash MM slash YYYY NationalityPassport Upload* Drop files here or Select filesAccepted file types: jpg, pdf, png, doc, docx, xls, xlsx, jpeg, Max. file size: 15 MB.Please upload scanned copies of your Passport Details pagesThis field is hidden when viewing the formCOVID-19 Vaccination StatusThis field is hidden when viewing the formAre you Fully Vaccinated against COVID-19?* Yes NoThis field is hidden when viewing the formIf you are not Fully Vaccinated, are you partially vaccinated against COVID-19? Yes NoThis field is hidden when viewing the formIf you are not vaccinated, do you expect to be vaccinated before this tour starts? Yes NoThis field is hidden when viewing the formUpload COVID Vaccination certificate Drop files here or Select filesAccepted 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 Requirements1.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 No1.b. If you are traveling with a partner, would you prefer 1 double bed or 2 single beds?* 1 Double Bed 2 Single Beds1.c. Would you like a printed checklist?* Yes No1.d. If you do want a printed checklist, and are traveling with a partner, would you like shared, or separate checklists?* Separate Shared2.a. If you are travelling to Uganda / Rwanda - Do you require a Gorilla Permit?* Yes No2.b. If you are travelling to Uganda / Rwanda - Do you require a Chimp Permit?* Yes No3. 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 No7. Would you like to sign up for Emergency Medical Evacuation via Global Rescue? www.globalrescue.com/rockjumper* Yes NoPre-Tour Questionnaire1. Would you be interested in any pre or post BIRDING tour activities?* Yes No1.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 No3. 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 challenged4. How would you rate your birding interest? Hardcore Keen Average General5. Your photography interest? Hardcore Keen Happy Snapper None6. Do you have any other specific interests? Mammals Flora Culture History Geology Insects Reptiles Amphibs7. 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 EmergencySomeone not on the tourFull Name*Relation*AddressWork PhoneHome PhoneThis field is hidden when viewing the formFaxMobileEmail (Emergency) ConsentFull NameDate DD slash MM 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 statementEmailThis field is for validation purposes and should be left unchanged.