Booking Form - Mindful Adventure

Safaris*

Which safari would you like to book?

Optional extension Usambara Mountains*

would you like to extend your safari?

Optional extension Serengeti*

would you like to extend your safari?

Optional extension Manyara/Tarangire*

would you like to extend your safari?

Amount of travellers*

For how many people would you like to book?

Travel dates*

What are the dates of your private safari or winter break?

What are the dates of your solo retreat in Tanzania

Full name as in passport*

First name Last name

Full name as in passport - traveler 1*

First name Last name

Full name as in passport - traveler 2*

First name Last name

Full name as in passport - traveler 1*

First name Last name

Full name as in passport - traveler 2*

First name Last name

Full name as in passport - traveler 3*

First name Last name

Address*

Street + number City Postal code Country

E-mail address*

Telephone number

Date of birth*

Physical information

Do you have any physical restrictions? Please let us know food/diet, medication, etc.

Personal circumstances

To what extent have you had psychological problems in the past, like severe fear or panic attacks, psychosis, or anything else we need to know?

How did you first hear about us?*

Approval*

The travel conditions of Mindful Adventure are here: https://mindfuladventure.nl/en/reisvoorwaarden-2/

Comments

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