Cruise Bookings 24 - Discovery One

Date of Birth
Weight in KG’s
Medical conditions
Current Medications
Food Allergies/Dietary Requirements
Contact Details
Emergency Contact Details

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Cruise that you would like to book *

Cabin preference *

Travel, please select *

Indigenous Lands Visitor Pass:

Visitors to the Kimberley are charged by the Traditional Owners. Pass charges will be added to your account. Waterfall $260 pp / Explore & Hunter River $155 pp / Great Rivers $235 pp.

Evacuation Fund *

The Royal Flying Doctor Service only have fixed wing aircraft in our region. A medivac may involve a helicopter or seaplane charter, which costs thousands of dollars. Opt into this fund, at $50 per person, and this fund covers evacuation charter costs.

Passenger 1

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Title (passenger 1) *

First name (passenger 1) *

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First name preferred (passenger 1) *

Last name (passenger 1) *

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Date of Birth

Weight (Kg) *

Health Information

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Medical Conditions *

Current Medications *

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Diet Requirements *

Food Allergies

I have a severe reaction to
I am anaphylactic
I have a preference to not eat

Which foods: *

Passenger 2

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Title (passenger 2)

First name (passenger 2)

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First name preferred (passenger 2)

Last name (passenger 2)

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Date of Birth

Weight (Kg)

Health Information

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Medical Conditions

Current Medications

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Diet Requirements

Food Allergies

I have a severe reaction to
I am anaphylactic
I have a preference to not eat

Which foods:

Contact Details

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Contact Name *

Email *

Mobile *

Country *

Street Address *

Town / Suburb *

State *

Postcode *

Booking Code: (optional)

Payment

Once your booking is received and confirmed, we require a 30% security deposit. An invoice will be emailed to you. Payment can be made via a direct transfer or by card. The final balance is due 10 weeks (70 days) prior to departure.

Who should we contact in case of an emergency?

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Name *

Relationship *

Mobile Phone *

Additional Information

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I am a returning passenger;

I am travelling with friends

I will be: *

Where did you hear about us? Any other comments? *

If by referral, who recommended the cruise to you?

Checkboxes *

Agree

By completing this booking form, both my travel companion and I freely and voluntarily assume all risks of such Injuries and Damages listed on Discovery One Activity Release / Disclaimer

By clicking Submit you agree to our Terms & Conditions