Booking Form (Waterberg Wildlife & Vet – IND)

BOOKING FORM

Your Global Adventure Starts here!

Please use the form below to submit your provisional booking to your selected project. You have the option to pay your initial deposit with the submission of your booking form, or we will contact you for payment once your project placement has been secured.

If you’d like to contact us to ask any initial questions or find out more about what project you’d like to go on and when, you can get also get in touch using our short enquiry form, or by calling +44 (0) 207 193 7819.

Name as Displayed on Passport
First Last
Date of birth*

Day
Month
Year
Address*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Telephone*
Mobile*
Email 1*

*NB: All correspondence will be sent via Email*
Email 2
Placement Information
Waterberg Wildlife & Veterinary Course
This project has set start/end dates, please choose your selected date option from the dropdown menu above.
Add Flights to Your Booking
- Yes please
- No thanks
We will send you a quote to include return flights for your selected project. An additional deposit may be required to secure the flight reservation.
Passport Information
Passport no.
Passport Issue Date

Day
Month
Year
Passport Expiry Date

Day
Month
Year
Nationality
Next of Kin Details
Full name*
Relationship*
Contact Number*
Other Information
Do you have any dietary requirements?*
Do you have any medical conditions or allergies?*
Consent*

I have read and understood the terms and conditions and confirm that all information contained in this form is correct (T&C’s available Here)
Name
First Last