Booking Details

Congratulations on booking your tour - to ensure things run smoothly we have put together this form. Please complete as soon as possible to allow us to obtain any necessary immigration visas etc before departure. This form may take you a little while to complete but will be well worth it!

We appreciate your time in filling out this questionnaire.

Section 1 - Tour Information
Selected Tour*
Option* Tour Departure Date*
Your Name*
Your Address*
City* State / Province*
ZIP / Postal Code* Country*
Gender* Male Female Age*
Nationality* Passport Number*
Name on Passport* (exactly)
Date of Issue* Expiry Date*
Bike Hire Required?
(if available)		 Yes No

Section 2 - Your Contact Information
Home Telephone* Work Telephone*
Mobile Number Email Address*
Fax
Preferred Contact*

Section 3 - Accommodation
Select your preferred accommodation choice
Paying the single supplement guarantees a room to yourself. If traveling alone and you choose Share Twin we cannot guarantee that we will find someone of the same sex to share with, but 80% of the time we are successful!

Section 4 - Arrival Details
Arrival City
 Date
Flight Number Time
If not on the scheduled arrival day would you like us to arrange your pre-tour accommodation, activities, car hire etc?
Yes No If yes we will contact you directly to discuss in more detail.

Section 5 - Departure Details
Departure City
 Date
Flight Number Time
If not on the scheduled departurel day would you like us to arrange your post-tour accommodation, activities, car hire etc?
Yes No If yes we will contact you directly to discuss in more detail.

Section 6 - Health Profile

This profile is to assist us in the care and well being of all participants. Please complete as fully as possible to ensure we can look after you in the event of an unforeseen emergency!
Height* Weight* Date of Birth*
Please outline any special dietary requirements:
How do you rate your fitness and mountain biking skills? fit beginner, leisurely beginner, intermediate etc*
Have you suffered from any major injuries (e.g. fractures) or illnesses (e.g. glandular fever) in the last six months?*
Yes No

Please tick if you suffer from any of the following
Migraine Heart Problems Chronic Bleeding
Diabetes Asthma Travel Sickness
Epilepsy Hernia Bronchitis
Sinus Back Problems Weak knees/ankles
Fainting Pregnancy Ulcers

Do you suffer from any allergies?
Drugs  
Foods  
Insect bites/stings  
Hay fever  

Are you presently taking tablets and/or medications? *
Yes No

Do you wear contact lenses?* Do you smoke?* Date of last tetanus immunization*
Yes No Yes No
In an emergency please contact:
Name* Address*
Contact Phone Number* Emergency Telephone Number*
Your Travel Insurance Company Policy Number
Insurance Company Telephone Number
I agree that for safety reasons the above information can be passed on to any outside providers and/or medical personnel. *
I have read and understood the Global Adventure Guide Terms and Conditions above. *
I confirm the above information I have supplied is correct and I have not omitted any relevant information.*

 

Enjoy Your Tour!

Your Global Adventure Guide Team