Booking Confirmation Form

BOOKING CONFIRMATION FORM

Thank you for booking with Galavanta. Please complete this form at your earliest convenience.
Select number of guests:
- GUEST 1
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 2
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 3
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 4
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 5
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 6
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 7
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 8
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 9
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number
- GUEST 10
- Name*
  
  PrefixFirst NameLast Name
- Date of Birth*
  
  DayMonthYear
- Nationality*
- Passport Number*
- Upload Passport*
  
  Browse File
  
  Cancelof
- Email Address
- Phone Number
- Travel Insurance Policy Number
- Insurer
- Insurer's Phone Number

ITINERARY DETAILS
Will you be participating in any of the following: Helicopter flights, paragliding, scuba diving, biking, horseback riding, kayaking, and other extreme sports?
Please choose one:
- Please fill in the following details:
- Please fill in the following details:
- Medical conditions, allergies or dietary requirements (please specify traveller):
- Foods, beverages, wine & liquors likes:
- Foods, beverages, wine & liquors dislikes:
- Special requests:
- Special occasion or celebration:
- Please note that most restaurants in Colombia offer two time slots for dinner reservations. Please select your preferred option:
  
  7:00 / 7:30 pm9:00 / 9:30 pmEither option is okay
- Would you like a printed itinerary?
  
  YesNo
- EMERGENCY CONTACT
- Contact 1*
  
  NameSurname
- Phone Number*
- Relationship
- Contact 2
  
  NameSurname
- Phone Number
- Relationship

SIGNED DECLARATION
Name*

First NameLast Name
Signature*

Clear
Should be Empty:

BOOKING CONFIRMATION FORM

GUEST 1

GUEST 2

GUEST 3

GUEST 4

GUEST 5

GUEST 6

GUEST 7

GUEST 8

GUEST 9

GUEST 10

ITINERARY DETAILS

EMERGENCY CONTACT

SIGNED DECLARATION