Guest Information Form

This form is to be completed by all Alexandra's Africa guests approx 2 months prior to departure following balance payment. One form is to be completed per guest. For parents travelling with children under the age of 18 (minors), parents should complete the form on behalf of the children.

"*" indicates required fields

Your Name*

Your Email*

If you are completing this form on behalf of a minor

Name of the minor

Passport Details

Passport Name as it appears in your Passport e.g Beatrice Mary Sayer*

Also Known As e.g. Bea Sayer (if different from above)

Date of Birth*

Nationality e.g. British, American etc.*

Passport Number*

Passport Expiry Date*

Your Contact Details

Your Contact Number whilst on Safari*

So that we can contact you on What's App! Please include international Dealing Code e.g. +44 for UK or +1 for USA.

Travel Insurance

Travel Insurance Provider*

Travel Insurance Policy Number*

Travel Insurance Contact Tel. Number*

Please include Int Dialling Code

Emergency Contact

Emergency Contact Name*

Emergency Contact Relationship*

For example: spouse, brother, mother

Emergency Contact Tel No.*

Flight Information (if we are meeting you at the airport)

Arrival in Johannesburg at start of trip

Please provide: Date/Time/Airline/Flight No./Origin e.g. London, New York, San Francisco
If we have agreed to meet you at your hotel - please provide that instead.

Departure from Johannesburg at end of trip

Please provide: Date/Time/Airline/Flight No./Destination

Any Special Dietary Requirements / Allergies*

For example: Vegan, Vegetarian / Can't eat fish, nuts etc..

Any Existing Medical Conditions*

Only those that we need to know in the event of an emergency for e.g. Diabetes, heart condition, special medication etc.

Will you be celebrating a special event during your safari?

For Example: Birthday, Anniversary, retirement etc.

Any other special requests?

Permission to share selected information from the above with our suppliers (only those that need to know)*

We need your consent to share this information with our suppliers who will be hosting you e.g. lodges and game reserve management. Please enter your name (First and Last) in the box above - to indicate your consent. We will not share your email address or any other contact details.

Thank you - this form is now complete. Please click on the submit button below to send this to us.

Phone

This field is for validation purposes and should be left unchanged.