Email Address *

Date of Birth (for airline tickets)

What activities interest you besides game drives and relaxing at the lodge? (Supplemental Cost/Person)

Guided Nature Walk ($0-40, depending on lodge)

Guided Bird Walk ($0-40, depending on lodge)

Hot Air Balloon Ride ($450-$550/person, depending on lodge)

Visit a Local Village ($30)

Volunteer Activities (Visiting Orphans, Donating Clothes/Backpacks, etc.)

Shopping

Private Encounter with the last Northern White Rhinos ($60)

Visiting Jane Goodall's Chimpanzee Sanctuary ($0)

Horseback Riding ($80-$250/ride, depending on lodge)

NIght Time Game Drive ($60-90)

Other (Please list in your "Biggest Wishes")

CHOOSE (5) animals that you're dying to see:

Birds

Buffalo

Caracal / Serval Cat (rare)

Cheetahs

Chimpanzees

Elephants

Giraffes

Hippos

Leopards

Lions

Rhinos

Wild Dogs (rare)

Wildebeests

Zebras

Other (Please list in your "Biggest Wishes")

Do you want to do all-day game drives, where we bring picnic lunches and travel to more remote areas of the park far from tourists and view as many animals as possible?

YES! I want to spend as much time with the animals as possible!

NO! I prefer to rest and enjoy lunch and the pool/spa at the lodge in between game drives.

NEUTRAL - I'd like a mix of both!

How Important is Daily Exercise to you?

EXTREMELY IMPORTANT! I need to be able to at least walk every day

NEUTRAL: It would be nice, but I can live without it

NOT IMPORTANT: I'm on vacation!

Do you have any dietary restrictions? (Please check all that apply)

Vegan

Vegetarian

Pescatarian

Dairy Free

Glutan Free

Nut Allergies

Other

What is your favorite drink or cocktail?

White Wine, Beer, Gin & Tonic, Diet Coke, Juice, etc.

If availability isn't an issue, what is most important for your room?

QUIET / SOLITUDE - I want a secluded room away from the restaurant / main tent

WIFI - I want to be close to the main areas / proximity to WIFI

CONVENIENCE - I want to be close to the restaurant / main tent

VIEW - I want the best view, even if I must walk 5-10 minutes to get to my room

What are your BIGGEST WISHES for this safari???

Anything else you want to tell me?

Health concerns, physical limitations, allergies, or other requests/preferences?

Safari Preferences