|
Please submit
ONE
form for each individual traveler.
If changes are required, please submit a NEW
form and
check the Revision
block below.
If you are attempting to cancel an existing reservation - go back to the
Trip Page and select the
Cancel
form. |
| Trip: |
|
| Form Status: |
Original
Revision |
|
Traveler Information |
| Name: |
As Shown On Passport |
| Travel Identification: |
Passport is
required.
Please
enter your passport information below:
Number:
Expiration Date:
You are responsible for providing the proper travel identification
documents to board the airline and/or to enter the country and reenter
the US.
Information from US Department of
State Website as of 02/12/2015
ENTRY/EXIT REQUIREMENTS:
Visas for U.S. citizens traveling
to Tanzania are mandatory. The U.S. Embassy recommends that U.S.
citizens obtain visas before traveling Tanzania, but visas are also
available at ports of entry upon arrival. A passport valid for a
minimum of six months beyond visa issuance and/or date of entry, and at
least one blank visa page is required. Visitors who enter on visas must
present a roundtrip ticket and demonstrate they have sufficient funds
for their stay. Be prepared to show your passport and explain your visa
status when entering or departing Zanzibar or when traveling around the
mainland.
Volunteer activity – even if
the traveler is paying for the opportunity – is prohibited on a tourist
visa. If you plan to engage in business or commercial transactions in
Tanzania, please consult with the Embassy of Tanzania in Washington,
D.C. before applying for a visa. Visit the Embassy
of Tanzania website for the most current visa information. Read the
page on visas and
immigration to ensure you will have the correct status during your
visit to Tanzania. |
| Home Phone: |
Include Area Code |
| Home Address: |
|
| City: |
State:
Zip:
|
| E-Mail Address: |
|
|
Room Information
Please select "Room Type" for first
person in each room. If you are the second or subsequent person in
the room, indicate that in the "Room Type" blocks and fill in "Rooming
With" block. If
you are a single, the club will try to match you with a roommate unless you
indicate you will pay the "single rate". |
Location 1 - Ruaha
(Max - 2 persons in Chalet)
Accommodation Preferences: |
|
|
|
| Rooming
with: |
Location 2 - Rufiji
(Luxury Tents or Quads)
Accommodation Preferences: |
|
| Rooming
with: |
|
|
Location 3 - Gold Beach Resort
Accommodation Preferences and
Full Board
or Half Board Choice |
|
Note: King beds only available with Gold Beach Resort Upgrade
- If desired, request upgrade in comments section, below, and specify
bed preference. |
| Rooming with: |
|
HALF
FULL Note: Roommates must select same
choice |
|
Transportation Information
It is unlikely
that there will be a Group Airfare package, however please select whether you want the club to include you
on our group fare should it become available or if you are going to make your own travel
arrangements. |
| Transportation: |
|
|
Zanzibar Optional Side Trips
A number of side trip
opportunities are available. Please check all you are interested
in and the trip leader will make sure you are contacted.
4 people minimum needed per side trip. |
|
Snorkel trip to Tumbatu Island $50 pp |
YES NO |
|
Snorkel trip to Mnemba Island $90 pp |
YES NO |
|
4-Hour Jozani Forest $40 |
YES NO |
|
4-Hour Spice Plantation
$40 |
YES NO |
| Combined
Full-Day Jozani Forest and Spice Plantation tour $65 |
YES NO |
| Full Day
Stone Town trip $60 |
YES NO |
| ½ Day
Prison Island (giant tortoises and snorkeling near Stone Town) $40 |
YES NO |
|
6-Hour Slave Route tour $55 |
YES NO |
|
Dive Information |
| Are You a Diver: |
YES NO |
| Do You Want Nitrox: |
YES
NO |
| Do You Need Rental Gear |
YES
NO |
|
Additional Information |
Comments:
or Additional Information: |
|
|
Emergency Contact Information (Optional) |
| Name: |
Relationship: |
| Address: |
|
| Phone: |
Include Area Code |
| City: |
State:
Zip:
|
| E-Mail Address: |
|
|
Bluegrass Dive Club Trip Waiver
& Acknowledgements |
Bluegrass Dive Club
Trip Waiver Form |
Change this box to "YES"
to indicate that you have
READ and
AGREE to the
Bluegrass Dive Club Trip Waiver and enter your
initials here ==>
To view Waiver click ==>
HERE
I further acknowledge that I understand that 25%
deposit is non-refundable however can be reimbursed if another trip
participant signs up and assums my reservation.
If the
applicant named on this form is under the age of 18, this form will not be
valid unless submitted by a Parent or someone assuming guardianship
responsibility for applicant. Please enter name
of Parent/Guardian submitting this form.
The Bluegrass Dive Club does not require but
recommends you secure a "Child Care Authorization" document for any
non-custodial person under the age of 18 you plan to bring. Click
==> HERE for a PDF copy
of this form. |
| Submit Form: |
Please be patient - Form may take a short time to process - You will
see a confirmation page when complete. You may want to print this
page for your records. |
