Required for workshop, tour, or safari participation
safari / tour / workshop
Please enter a valid phone number.
Have you experienced any of the following symptoms that are not associated with any underlying medical condition or medication use.
Shortness of breath
Loss of smell or taste
Muscle pain/body ache
Vomiting or abdominal pain
More than 3 loose stools in the last 24 hours
Onset of a severe headache
New uncontrollable cough
Loss of appetite
Congestion or runny nose
None of the above
Please enter the estimated date of any close contact that you have had a confirmed case of covid-19. Close contact is defined as being within approximately 6 feet (2 meters) of a confirmed Covid-19 case for at least 15 minutes. Please select "Not Applicable" if you have not been exposed to your knowledge.
Have you been vaccinated?
What type of Covid-19 test did you take?
Enter the date of your Covid-19 test
Enter the time your test
I certify that I have answered truthfully to the best of my ability.
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