Full Name * First Name Last Name Date of Birth * MM DD YYYY Email * Nationality * Passport Number * Passport Expiry Date (MM/YY) * Contact Number * Country (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name * Emergency Contact Number * Country (###) ### #### Emergency Contact Email * Room Type * I will be travelling alone - Twin Share I will be travelling with someone - Twin Bed Required I will be travelling with someone - Double Bed Required Dietary Requirements * Please include any dietary requirements or input 'N/A' Medical * Please provide details of any medical conditions that we should be aware of or write 'N/A' Additional Comments Terms & Conditions * I hereby acknowledge that I have read and accepted the Terms & Conditions of this tour, and acknowledge that it's a condition of this tour to be covered by comprehensive travel insurance for the duration of the tour. I acknowledge that some activities on this tour require a moderate to high level of physical fitness and I declare that I am fit to participate in these activities. Alternatively, I have spoken with a representative of North Star Safari and have confirmed special arrangements for these activities. I hereby accept that the tour price is payable in Euros and I am solely responsible for any and all exchange rate fluctuations and/or transaction fees imposed by my financial institution if paying in another currency. I accept that until amounts are paid in full, these amounts are subject to fluctuation in exchange rates. Thank you for registering for our Polar Night Tour. A member of our team will be in touch shortly with the next steps, including the details for securing your place with a deposit. Kindly note, your reservation will be confirmed once the deposit has been received.
