Explore the Kimberley - Broome to Broome 2-13 June 2026

Passenger One

First name preferred

First Name

Last Name

Date of Birth

Your Weight

Health Information

Medical Conditions

Current Medication

Do you suffer from anaphylaxis?

Yes

Food Allergies/Dietery restrictions

Select...

Preferred alcoholic beverage

Select...

Evacuation Fund

Yes ($50.00)

No ($0.00)

Contact Details

Contact Name

Email Address

Phone Number

Postal Address

Additional Information

Who should we contact in case of an emergency?

Name

Relationship

Mobile Phone

Hotel Name

How did you hear about us?

Select...

Are you travelling with family/friends?

Yes

Are you a returning passenger?

Yes

Payment

Once your booking is received and confirmed, we require a 30% Security Deposit. Payment can be made by card when you finalise your booking. If you select to pay via phone or direct transfer, an invoice with payment details will be emailed to you. The final balance is due 10 weeks (70 days) prior to departure.

Any discounts will be applied when we process your booking

I/We 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

Product Price$12,990.00

Fees$0.00

Total$12,990.00

Explore the Kimberley – Broome to Broome 2-13 June 2026

Passenger One

Health Information

Contact Details

Additional Information

Who should we contact in case of an emergency?

Payment

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