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*

Travel dates

What are the dates of your private safari or retreat?

What are the dates of your solo retreat in Tanzania?

Price

What is the price of your private safari?

Full name as in passport*

First name Last name

passport number*

Date of birth*

What is your nationality?*

Personal information

Do you have any psychological issues or circumstances that are relevant to us?

Physical condition

Do you have any physical limitations, like physical fitness, injuries or other physical limitations?

Diet wishes

Do you have any specific diet wishes?

Full name as in passport - traveler 2*

First name Last name

passport number traveler 2*

Date of birth traveler 2*

Nationality traveler 2*

Personal circumstances traveler 2

Please inform us about psychological and physical points of attention and diet wishes

Full name as in passport - traveler 3*

First name Last name

passport number traveler 3*

Date of birth traveler 3*

Nationality traveler 3*

Personal circumstances traveler 3

Please inform us about psychological and physical points of attention and diet wishes

Full name as in passport - traveler 4*

First name Last name

passport number traveler 4*

Date of birth traveler 4*

Nationality traveler 4*

Personal circumstances traveler 4

Please inform us about psychological and physical points of attention and diet wishes

Address*

One address per booking

Street + number City Postal code Country

E-mail address*

Telephone number

How did you first hear about us?*

Internet search/Google
Travel Fair
Recommendation by a friend
Facebook
Instagram
Yoga Magazine
Zin Magazine

Approval - contact us if you have any doubt answering any of the questions below*

The travel conditions of Mindful Adventure are here: https://retreatstanzania.com/practical/travel-conditions/ or look under the menu: practical/travel conditions

I agree with the travel conditions of Mindful Adventure
I am responsible for providing full and correct information about my physical and psychological condition, relevant to this safari
I am aware this safari includes a trekking or long distance hike, requiring physical health

Email

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Contact Information

Mindful Adventure

Guarantee Scheme

VvKR

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