Kimberley Safari Tours Guest Information Form

Guest X

Phone Number:

Email:

Profession:

Weight (Kg): Required for helicopter Flights

Address:

Date of Birth:

Dietary Requirements:

Medical Information:

Guest Comments:

Pick Up Location:

Perth Pick Up Location:

Drop Off Location:

Perth Drop Off Location:

Tent:

If you have 2 people and want separate tents, select Single.

Sleeping Bag:

Stretcher Bed (for mobility reasons): All Requests are reviewed as we have limited capacity

All Requests are reviewed as we have limited capacity