Mandawa Safari Questions

In Order to Assist Us in Preparing For Your Safari, Please Fill In This Form And Return to Us.

NAME IN FULL:

NATIONALITY:

AGE:

DOB:

SEX:

HEIGHT:

(Minium Age: 9 Yrs)

WEIGHT:

(Weight Limit Stricly: 15st/210lbs/95kgs. You Will be Weight in Camp!)

HOME POSTAL ADDRESS:

EMAIL:

DATE OF SAFARI:

IMPORTANT : You Must be Insured to Ride With us - Please Ensure Your Policy Covers You For Houres Riding and Include s MEDICAL AND MEDICAL AID. Please Give us the Following Details:

Insurance Co Name:

Insurance Policy Name & No:

Insurance Valid Form :

to

24 hr Emergency Insurance Tel:

Next of Kin Name & contact Tel:

How Long Have YOu Been Riding and How Frequently?

Please Give Details of Any Horse/Pony Ridden Recently (eg Size/Breed):

Do You Own/Share a Horse?

Do You Hold Any Equestrian Qualification?

The More Flexible You Are to Type of Saddle, The Wider Your Choice of Horse

What Kind of Horse do You Enjoy?

If You Have Ridden With Us Before, Which Horse(s) Did You Ride?

Experinced Level:

Years of Riding:

Riding Frequency:

Do You Have Any Medical Conditions?

Do You Have Any Dietary Requirements?

Are You Celebrating a Special Occasion Whilst on Safari With US?

Would You Prefer Twin / Double Bedded Accommodation?


Details of Above

Date

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