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Gullivers Tour Booking Form

By GulliversMay 18, 2022March 14th, 2023Forms7 min read

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GULLIVERS TOUR BOOKING FORM

Booking Form

Personal information is used for booking purposes only. Under the terms of the Privacy Act 1988 we keep all your information confidential and secure, and destroy it when no longer required. Please see our Privacy Policy at http://gullivers.com.au/privacy-policy/.

Name of GROUP or TOUR(Required)

Tour Consultant Email(Required)

*A reminder to please sight the booking conditions before completing the form. Thank you

PASSENGER INFORMATION

Please complete ONE FORM for each person on the tour and return to your tour leader/group organiser.

PASSPORT DETAILS:(Required)

(as shown in your passport)

Preferred Title First Surname

NATIONALITY(Required)

PLACE OF BIRTH(Required)

PASSPORT DATE OF ISSUE

DD slash MM slash YYYY

PASSPORT NUMBER

**PASSPORT DATE OF EXPIRY

**Passports must be valid until at least 6 months after your return to Australia.

DD slash MM slash YYYY

ISSUING COUNTRY

DATE OF BIRTH(Required)

DD slash MM slash YYYY

Expired Passport details

I am waiting for my passport to be issued

I have attached a photo or scan of my passport photo page

Upload a photo or scan of my passport photo page(Required)

Max. file size: 128 MB.

B. PERSONAL INFORMATION

Address(Required)

Street Address City State Post code Country

Mobile Phone(Required)

Home Phone

Work Phone

Email 1(Required)

Email 2

Age at time of travel(Required)

Years, Months (eg. 15 yrs, 6 mths)

My role on tour(Required)

(Staff member, group member, family/supporter)

C. EMERGENCY CONTACT DETAILS

Please make sure these details are correct and current for someone not travelling on this tour

CONTACT PERSON(Required)

(as shown in your passport)

First Surname

RELATIONSHIP(Required)

Address(Required)

Street Address City State Post code Country

Mobile Phone(Required)

Email(Required)

Home Phone

Work Phone

C. DIETARY INFORMATION:

A. DIETARY INFORMATION: The purpose of this section is to allow us to provide appropriate meals on tour, particularly in the event of illness or emergency. Information supplied here is strictly confidential.

Please tick what is appropriate below:(Required)

Note: As it will not usually be possible to cater for individual likes and dislikes during the tour, please answer this section ONLY in reference to foods that CANNOT be eaten for religious or medical reasons

No special dietary requirements (will eat everything)

Vegan (No animal products whatsoever)

Vegetarian (no meat of any kind but dairy products & eggs are ok)

No beef or pork (chicken and fish are ok)

No red meat (chicken, pork and fish are ok)

No seafood

Lactose Intolerant

Coeliac/Gluten Intolerant

Nut Allergy

Other food allergies or medical intolerances (please specify)

Note: In many parts of the world only standard menus and vegetarian options are available, except in high end restaurants.

Other food allergies or medical intolerances(Required)

D. MEDICAL INFORMATION:

A. MEDICAL INFORMATION: The purpose of this section is to allow us to adequately provide for you on tour, particularly in the event of illness or emergency. Information supplied here is strictly confidential.

Do you have any known allergies?(Required)

No

Yes

Yes, I do have allergies(Required)

Do you have any current disabilities or illnesses?(Required)

No

Yes

Yes, I do have current disabilities or illnesses?(Required)

Are you currently taking any form of medication?(Required)

No

Yes

Yes, I am currently taking a form of medication(Required)

Important Notes: All medication to be taken on this tour should be indicated in a letter from your doctor outlining the dosage and name of medication. This must be provided to Customs Officers if requested. Medications associated with ADHD may be considered illegal in some countries, notably Japan, and may not be brought into the country. Please seek early advice in regard to this.

E. TRAVEL INSURANCE

Highly recommended

Travel Insurance quote(Required)

NO, thank you

YES, please more information

Travel Insurer

Policy Number

F. DECLARATION:

This section must be completed by Adult travellers or the Parent/Legal Guardian of travellers under 18 years of age.

Consent(Required)

I agree(Required)

By ticking this box I confirm that I have read and accept the booking conditions associated with this tour (If you do not have a copy, please contact your Tour Group Leader).

Signed by,

First Last

Signature

Date signed,

MM slash DD slash YYYY

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BOOKING CONDITIONS | PRIVACY POLICY | DISCLAIMER | POWERED BY CLIENTOLOGY

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CALL 1300 307 077 (AU ONLY)

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