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REGISTRATION FORM – YOGA SAFARI AND GORILLA ADVENTURE

Registration form - Yoga Safari and Gorillas Adventure (Ohana)

Registration form - Yoga Safari and Gorillas Adventure (Ohana)

On a scale of 1 - 10 how excited are you?
Can you join us in Uganda for a gorilla trek?
First Name
Last Name
Nickname
Passport number
Nationality
Place of birth
Issue date (dd/mm/yyyy)
Expiry date (dd/mm/yyyy)
Date of birth (dd/mm/yyyy)
Phone
Email
Street
Suburb
State
Country
Postcode
Please advise us if you would like us to call you to discuss.
First Name
Last Name
Phone
Email
Complimentary yoga or travel shirt.
Accommodation is twin share. Single is available upon request at an additional charge.
Sponsorship is not mandatory but it is recommended. Not only will you be empowering a young Kenyan student by keeping them in school, you will also be enhancing your travel experience. Sponsorship is A$1,000/year, 100% goes to our partner charity and you can fundraise if you prefer.
Upon receipt of your registration form, we will send you an invoice that includes payment options and directions for payment. Minimum deposit is 10% of total fee.
Our Terms & Conditions can be found below.