Surname
First Names
Home address
Business address
Email address
(mandatory)
Confirm
email address
(mandatory)
Home
telephone nr
Business telephone nr
Home fax nr
Business fax nr
Date of birth
Year/month/day
Name and surname
Fax nr
Telephone nr
Email address
Number of days
Observers
Children
Number in your party
Dates From
To
Yes
No
Lion
Lioness
Elephant
Cape Buffalo
Rhino
Leopard
Hippo
Crocodile
Giraffe
Zebra
Springbuck
Kudu
Eland
Roan Antelope
Klipspringer
Grey Reedbuck
Steenbuck
Sharps Greybuck
Cape Greybuck
Duiker
Black Wildebeest
Blue Wildebeest
Caracal
Serval
African Wildcat
Genet
Warthog
Black Backed Jackal
Bushpig
Baboon
Birds
Springhare
Ostrich
Waterbuck
Fallow Deer
Reedbuck
Red Hartbeest
Oryx
Blesbuck
Sable
Arrival Date
Airline
Arrival Time
Flight Number
Departure Date
Airline
Departure Time
Flight Number
Game Parks
Diamond Industry
Southern Africa
Blue Train
Gold Mines
Museums
Deep Sea Fishing
Casinos
Tribal Life
Golfing
Hiking
Winelands
Fresh Water Fishing
Shopping
Cape Garden Route
Rovos Rail
Food Preferences
Food Allergies / Dislikes
Yes
No
Details
Beer
Wine
Spirits
Allergies
Special medical conditions
Special medications
Bloodtype
Yes
No
Emergency Contact Details
Safari Dates and Information
Will you bring your own firearms?
Animal species you plan to take
Suni
Bushbuck
Bontebok
Oribi
Red Lechwe
Impala
Damara Dikdik
Note: Animals will not be taken in any specific order, but at random as they present themselves
Please give us your itinerary
If you plan to sight before or after your hunt, please indicate your interest
Other interests
Catering: So that our kitchen and household staff can make your stay enjoyable. Please tell us.
Do you require a low-salt or other special diet?
Beverage Preferences
Please tell us about your health
Are you Diabetic?
I, The undersigned, do hereby indemnify the members and staff of GLOBAL SAFARIS and any and all of its associate companies, organizations, or persons acting for , or on its behalf, against any loss or damage, whether it is caused directly or indirectly by delays, sickness, injury, death, or loss or damage to property, whether occurred by negligence or not, or any expenses arising there from, which I may suffer while with GLOBAL SAFARIS or while under its control or custody.
I agree to abide to the decision of my Professional Hunter to take down any trophy with his weapon, that I have shot at; if in his discretion, the animal holds a threat to human life or needs to be put out of misery. I agree to pay all costs in full, that are incurred, before termination of the hunt, which may arise from my Professional Hunter taking down these wounded or life threatening animals. I also agree that photographs taken during the safari may be used for promotion and/ or publicity purposes by GLOBAL SAFARIS.
This indemnity is binding to the laws of the country of the client, as well as the country of the outfitter. I specifically submit myself to the jurisdiction of any competent South African Court of Law for any cause of action.
Idemnity
Passport Number
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