Kamzang Journeys | Trip Booking Form

Terms & Conditions

Waiver & Release

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Trip Name *

Full Name *

First

Last

Email Address *

Home Address *

Phone

Gender *

Nationality *

Passport Number *

Date of Issue *

(DD/MM/YYYY)

Date of Expiry *

(DD/MM/YYYY)

Date of Birth *

(DD/MM/YYYY)

Emergency Contact Details (Full Details) *

Vegetarian +/or Special Dietary Requirements

Flight Details – Arrival

Flight Details – Departure

Pre-Existing Medical Conditions + Allergies? FULL Medical Check Up? *

Previous Issues with AMS, Cerebral Edema +/or Pulmonary Edema? *

Travel Medical Insurance? *

I have read the full itinerary + information pages for the trip booked, read + understood the CONTRACT & BOOKING FORM + agreed to + signed the WAIVER & RELEASE by checking this box. This is a legal requirement. *