Physical:404 Devenish Drive
Muckleneuk
Pretoria
South Africa / Tel: +27 (0) 12 344 6681
Mob: +27 (0) 82 063 9146



Booking Form/ Registration Form

Please supply the requested details, completing one form per family/group. This is necessary to ensure confirmation of your booking and to smooth communication to you should there be any deviations from your planned itinerary.

Please return the forms to C4 Photo Safaris, together with your payment, as soon as possible.

All bookings are held as provisional until a confirmed deposit is received.

Section 1 -Personal Details

Title / Surname / Names in Full / Nationality
Postal Address details
Country / Code
Telephone (work): / Home:
Mobile/ cell phone
E-mail Address:

Section 2 – Tour Details

Name of Tour / Date
Accommodation required / Single / Double/Twin
Emergency contact details – Name:
Relationship:
Telephone Number 1: / Tel no. 2:
Dietary requirements
Notable medical conditions

Insurance indemnity

It is mandatory that the Client provides evidence to C4 Photo Safaris that he/she has satisfactory medical insurance cover for all activities that the Client participates in for the entire duration of the holiday. Insurance must include but not be limited to cover for emergency operations, repatriation expenses, personal accident injury and death. In addition the Client must be comprehensively insured against any loss or damage due to the loss of baggage or personal belongings and for flight cancellations or delays.

Declaration

I am insured for the tour/safari/workshop on this booking form. The details of my insurance policy are as follows.

I confirm I will hold the mandatory insurance, inclusive of emergency evacuation insurance for the tour/safari/workshop on this booking form.
I confirm I have read and understand the contents of the section headed: “Health Considerations
“in the document: “Terms & Conditions”.
Full Name/s of insured
Name of tour / Insurance company
Policy Number 1 / Policy Number 2
Policy Number 3 / Policy Number 4

Section 3 – Payment details and Terms and conditions

Please see our payment details below. A 30% deposit must be made to confirm all bookings (40% for photo workshops) Proof needs to be e-mailed to

All payments are to be made to:

Bank:First National Bank, Menlyn Square, Pretoria, South Africa

Reference: (Your last name and start date of safari)
Account name: C4 Photo Safaris
Account Number: 6233 6951 802

Branch Code:252 445

Swift address: FIRNZAJJ
Bank Charges are for your own account. Please ensure the landing amount in our account is as per the invoice amount.

Please be aware that all Credit Card and PayPal payments will attract a 2.5% surcharge onto the invoice amount. Direct deposits and international transfers do not attract a surcharge and should land in our account for the exact invoiced amount.

Amounts paid

Deposit per person
Total deposit

TERMS AND PROVISIONS OF REGISTRATION

The Terms and conditions can be downloaded individually along with the booking form. By completing the booking form you confirm the Terms and conditions and accept them on behalf of the persons in Section 1 on this booking form.

I am aware that during any photo safari, trip or photo tour arranged by C4 Photo Safaris that
I am participating in certain risks and dangers particularly while traveling in wilderness areas.
These risks and dangers include the possibility of property loss or damage, personal injury and death.

I further acknowledge that:

i.There is a possibility of accident or illness occurring in places without access to immediate or timely medical treatment or facilities, and

ii. There is a risk of tropical or other diseases, food-related illnesses, the potential for personal injury and property damage or delay by forces of nature, wildlife, quarantine, political instability, terrorism, strikes, government restrictions or change of regulations, theft, pilferage, and accidents during travel on foot or by aircraft, train, motor vehicle, four-wheel drive, boat, ship or other conveyance.

I acknowledge that such risks cannot be eliminated without jeopardizing the essential qualities of the photo safari, trip or photo tour. Accordingly, in consideration of, and as part payment for the right to participate in such photo safari, trips, photo tours and/or other activities and services arranged for me by C4 Photo Safaris, I hereby assume all such risks, and to the fullest extent permitted by law I hereby release C4 Photo Safaris, its officers, employees, and agents from any and all liability, actions, causes of actions, claims, and demands of every kind and nature, howsoever caused, which I now have or which may arise out of, or in connection with, such photo safaris, trips or photo tours and participation in any activities arranged for me by C4 Photo Safaris.

I acknowledge that the law of the State of South Africa will govern any contract between me and C4 Photo Safaris or its agents arising out of this registrationand I submit to the exclusive jurisdiction of the courts of that State.

I have read and agree to the conditions outlined in the Terms and Conditions pertaining to my photo safari/trip/photo tour, including (but not limited to) the sections on insurances, cancellations, refunds, limitations on responsibility and liability.

By signing this document, I acknowledge that I am waiving (to the fullest extent permitted by law) all claims (whether in contract or tort, under statute, or otherwise) that I might, but for such waiver, have had against C4 Photo Safaris or its officers, employees or agents in respect of any loss or injury sustained by me as a result, directly or indirectly, of registering for and/or participating in this photo safari/trip/photo tour.

I have read this entire document and the separate Terms and conditions document, I understand it, and I agree to be bound by its contents by signing this Booking/Registration form.

I am above the age of 16 years and I am authorised to effect reservations and the conditions that apply, on behalf of all those detailed above. I/we agree to pay a non-refundable deposit (30% of total amount) on confirmation of my/our booking.

Name of Client:
Passport no:
(International travellers only)
Signature of Client:
(If under 21, parent or guardian) / Date:

Thank you for choosingC4 Photo Safaris.

Booking form/rEGISTRATION FORM / 1