Indemnity Form Guests Information(Required)Click on the + sign to add the information of each of the guests in your party.NameSurnameID no/PassportNationality Add RemoveActivities Start Date(Required) DD slash MM slash YYYY Activities End Date(Required) DD slash MM slash YYYY Type of Safari(Required)Sunrise SafariSunset SafariSunrise SafariAfternoon SafariFull-Day SafariPrivate SafariType of Safari(Required)Gin Tasting & Half-Day SafariHalf-Day Safari & Olifants River Boat CruiseMorning Drive, Cultural Tour & Gin TastingMorning Drive, Boat Cruise & Gin Tasting3-Night Safari Escape5-Night African Explorer PackageOther ActivitiesAuthorised Signatory(Required) Name Surname Email(Required) Phone(Required)Address(Required) Street Address City ZIP / Postal Code Next of Kin (Emergency Contact)(Required)Please provide the contact details of a next of kin or emergency contact who is not traveling with you. This person will only be contacted in case of an emergency. Name Surname Next of kin Email(Required) Next of kin Phone(Required)Terms & conditions I agree to the terms & conditions. Signature(Required)
