Booking Form / Questionnaire

LST Travels t/a Senior Safaris

Please complete the following questionnaire and forward this to us as via email as soon as possible to confirm your reservation.
Couples should please reply as two individuals on separate forms. Please do not hesitate to contact us about anything you are unsure about, or if you need more information.

PLEASE FILL IN ALL QUESTIONS BELOW:

Booking Form
Beds:

Mobility

I confirm that I am independently mobile and able to participate in this tour without assistance from a third party such as another passenger or the guide. For example, I am able to walk the necessary minimum distances of up to a few hundred meters between coach, hotels, activities, etc; board and exit the safari vehicle via the steps, handle normal flights of steps, with or without handrails and walk over uneven paths or stony ground, without assistance. (Should you be unsure, please call us to discuss)

Mobility

Health

I am aware that while on the tour we will often be in areas that are several hours away from professional medical assistance and facilities; that sometimes we will be touring a couple of hours away from conventional toilet facilities; and that on some sections of our journey road conditions are likely to be bad, causing a `bumpy ride‘ in the vehicle. I confirm that I am aware of these similar situations, and that I am fit enough and with sufficient stamina to participate in such a tour. I am in at least moderately good health, and there is no reason to anticipate that I will have a medical crisis while on this tour.

Health

Dietary / Other Requirements

I have the following specific dietary requirements or preferences. (If we are unable to satisfy these at any places on the tour, we will notify you.)

Next Of Kin Details

(Please provide both landline and cell phone, if possible.)

Preferences

SHOWER
or BATH
or NO PREFERENCE

Terms & Conditions

I have received LST Travels Terms and conditions and agree to them
Please visit www.seniorsafaris.co.za/terms-and-conditions to find our Ts and Cs

I confirm that I have read the above and have responded to each point on this questionnaire. Signed:

Consent

Please note: If you are not redirected to a 'Thank You' page after submitting, we have not received your form. Please double check the form fields and submit again. Thank you!