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Karibu (Welcome!)
The following pages will ask for detailed information for our records and to make the appropriate reservations for you and your upcoming team. Please complete all information. Questions? Email info@kenyahope.org.
24
Questions
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1
Do you have a valid U.S. Passport?
YES
NO
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2
When does your U.S. Passport expire?
The Republic of Kenya requires your passport be valid for at least six (6) months after your departure date.
-
Date
Day
Month
Year
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3
Does your current passport have at least two (2) blank pages?
The Republic of Kenya requires at least two blank endorsement pages in your valid passport.
YES
NO
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4
What is your name (as it appears on your passport)?
First Name
Middle Name
Last Name
Suffix
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5
What is your passport number?
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6
Please upload a photo of your passport's identification page.
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7
What is the best email address to reach you regarding your upcoming trip?
example@example.com
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8
What is your current mailing address?
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Tokelau
Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
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Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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9
When is your birthdate?
-
Date
Day
Month
Year
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10
Emergency Contact Name
Who should we contact in the case of emergency?
First Name
Last Name
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11
Emergency Contact Phone Number
Area Code
Phone Number
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12
Delta SkyMiles: If you have a Delta SkyMiles number, please enter it below.
If your trip travels on a Delta or SkyTeam flight, we'll include your SkyMiles number when purchasing tickets to help you earn miles.
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13
United MileagePlus: If you have a MileagePlus number, please enter it below.
If your trip travels on a United or Star Alliance flight, we'll include your MileagePlus number when purchasing tickets to help you earn miles.
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14
American AAdvantage: If you have an AAdvantage number, please enter it below.
If your trip travels on an American or oneworld flight, we'll include your AAdvantage number when purchasing tickets to help you earn miles.
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15
Do you have a Known Traveler Number (like TSA PreCheck or Global Entry)?
A Known Traveler Number is provided if you have TSA PreCheck or are part of Trusted Traveler Programs like Global Entry.
YES
NO
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16
What is your Known Traveler Number?
This is the number provided with your TSA PreCheck membership, or your Global Entry
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17
Even if you have expedited options for security checkpoints (like TSA PreCheck) or passport control (like Global Entry), your team leader may ask you to join the regular queue lines to keep the group together. Please follow your team leader's directions.
I understand.
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18
Kenya Hope will acquire traveler’s insurance for the days of your trip. Do you have any medical conditions or concerns that we should be aware of?
YES
NO
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19
Please list or describe your medical conditions/concerns.
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20
Using the email address and contact information provided previously, Kenya Hope will inform the U.S. Embassy Nairobi of your travel, and inform the U.S. Department of State of your intention to travel to Kenya. You may receive email updates from the Embassy and/or State Department.
I understand.
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21
Have you (or do you plan to) visited your Primary Care Physician or an International Travel health office?
Kenya Hope highly recommends you visit your Primary Care Physician and/or an International Travel Doctor
at least one month before your planned travel
to consider required, encouraged, and recommended vaccinations and medicines for international travel. These medications are to protect you and your fellow teammates from foreign diseases, as well as protect Kenyans from diseases you may bring into the country.
You likely will be visiting Nairobi and the surrounding areas, including Kibera, and areas to the south and west of Nairobi, primarily in Narok County.
Yes, I have already visited a doctor concerning my upcoming travel.
Yes, I have scheduled an appointment.
Yes, I plan to schedule an appointment.
No, I do not plan to visit a doctor before traveling.
I am not sure yet if I will see a doctor regarding my travel.
I prefer not to answer.
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22
Have you applied for an eTA?
To enter Kenya, you are required to have a valid visa (called an electronic travel authorisation, or eTA). You must acquire this eTA on your own--or your trip's organizer may choose to apply for the visa as a group. You should apply for a "Standard Application" for a one-time entry to Kenya, for $30 (USD). The average turnound time is currently 3 days. **Please note: Once the team has been confirmed, Kenya Hope will provide additional materials needed when applying for the eTA.**
I have already received my eTA.
I will apply soon.
I applied but my eTA was rejected.
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23
Participation Agreement
*
This field is required.
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24
Participant and Media Release Agreements
*
This field is required.
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25
Media Release Agreement
*
This field is required.
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26
I affirm the above information is accurate and complete to the best of my knowledge and capabilities.
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